Six Month Check-In: Act Now for the Version 5010 Transition

Wednesday, July 27th, 2011

The Version 5010 transition is less than six months away for all HIPAA-covered entities.  This means that to submit transactions electronically, all covered entities must upgrade from Version 4010/4010A to Version 5010.  Version 5010, unlike Version 4010, accommodates the new ICD-10 code sets, and is a required preliminary step for the use of the new ICD-10 medical code sets.

Before the compliance deadline of Sun Jan 1, 2012, you should conduct internal and external transactions within your organizations and with your billing partners – including payers, vendors, clearinghouses, and providers.  External testing should take place now in order to make sure that you are able to send and receive compliant transactions effectively.  Testing now will help identify any potential issues that may arise, and allow the necessary time to address them.

The CMS ICD-10 website has resources to support providers, payers, and vendors as they make the transition to Version 5010 and ICD-10.  Keep up to date on Version 5010 and ICD-10 by visiting http://www.CMS.gov/ICD10 for the latest news and resources to help you prepare.

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