Industry Note:
Stay On Track For 5010 Usage
Published on Fri Apr 13, 2012
MAC frowns on using 4010 form. CMS may have delayed 5010 enforcement until July 1, but you'd be wise to adopt the new HIPAA-compliant claim format as quickly as possible. "Submitters may continue to submit claims in Version 4010" until July 1, allows HHH Medicare Administrative Contractor Palmetto GBA. But "this is highly discouraged by your MAC," Palmetto stresses on its website. "We will do everything possible to assist you in becoming 5010 compliant." "It's important that all HIPAA-covered entities continue to take the necessary steps to complete the upgrade to Version 5010 as soon as possible," the Centers for Medicare & Medicaid Services urges in a message to providers. Providers may be behind on the 5010 conversion because they have experienced processing difficulties, CMS admits. "Much progress has been made in the successful receipt and processing of claims in the Version 5010 format, [but] CMS is aware that there [...]
