Thursday, December 8, 2011

PREPARE FOR HIPAA 5010 NOW TO PROTECT YOUR ORGANIZATION FROM FUTURE DENIALS

Beginning on January 1, 2012, a federal mandate requires providers, health plans, and clearinghouses to use new standards when electronically conducting certain health care transactions.  Included are claims, remittances, eligibility, and claim status requests and responses.  As of March 31, 2011, claims submitted using the current HIPAA 4010 standards will start being denied by CMS.  Commercial insurance carriers may deny claims as soon as January 1, 2012.
As the deadline approaches, providers and health care organizations need to upgrade and test their claims management systems to ensure that they are prepared to accommodate 5010.  The required upgrade to 5010 was prompted by the need for a comprehensive electronic data exchange for the expanded ICD-10 code set mandated for compliance by October 1, 2013.

For more information on this topic, visit www.cms.gov/Versions5010andD0/

Medical Billing Services & Solutions

6 comments:

  1. As much as three quarters of hospital staff are usually burdened with some sort of billing-related work in a traditional billing system. Opting for electronic medical billing solutions (ones that come with free EMR plans) that fit easily into the healthcare business' workflow are key to freeing up staff resources.
    Medical Billing Services

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  2. That was a good thing for the future.And laura sharon is also right about it opinion and all in all i learn a lot here.

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  3. Now a days healthcare providers want faster payment so they are outsourcing their medical billing services to the professionals. The company must be HIPPA compliant and must follow other federal laws. You have covered very important point in this post. Keep sharing such informative posts.

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  4. So that's what I was trying to figure out these days. This blog is very helpful to me. Thank you for your valuable time and this information !!

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