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(CollaborateMD is ANSI 5010 Ready)

Due to the lack of testing between providers and Medicare Administrative Contractors (MACs ) on HIPAA Version 5010 electronic transactions, the Centers for Medicare & Medicaid Services (CMS) announced an expansion of its contingency plan for enforcing the mandate. CMS plans to take the following steps for submitters and receivers of

Medicare Part B transactions:
In December 2011, submitters/receivers that have tested and been approved for Version 5010 will be notified that they have 30 days to cutover to Version 5010.
Submitters/receivers that have not yet tested will be notified in December 2011 that they must submit their transition plan and timeline to their MAC in 30 days.

Notification will come from the MACs; submitters/receivers have the responsibility to notify the providers they service.
CMS has not yet issued any information regarding the specifics of the “transition plan” or on the ability of MACs to continue accepting Version 4010 transactions after Jan. 1. Despite CMS’ discretionary enforcement delay, the compliance date for these new standards remains Jan 1, 2012. Practices must continue working with their practice management system software vendors, clearinghouses and health plans to ensure that they have the ability to submit claims in the new format by Jan. 1.


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