[ Monday, July 23, 2012 ]


5010, Anyone? I was catching up on my summer reading (got a little behind on some periodicals) and saw a story in Modern Healthcare (sorry, subscription required) that the 5010 HIPAA data set requirements became enforceable July 1. They were supposed to go hard January 1, but CMS gave a couple of extensions to the enforceability. Those exceptions are over, and no more are coming.

Basically, HIPAA requires covered entitites to use standard data sets and formats when submitting claims and engaging in other "transactions." Those code sets get updated sometimes, and the most recent was a switch from the 4010 standards to the 5010 standards. But there were a few hiccups along the way, and folks weren't ready to switch. By now, though, you should be using the 5010 standards if you're doing electronic transactions.

Jeff [10:01 PM]

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