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Home Health & Hospice Week

Industry Note:

Your 5010 Extension May Be Shorter Than You Think

Published on Thu Jan 27, 2011

Deadline will depend on your testing status. Get ready to start submitting 5010 claims by January if you fall into a certain group of providers, despite the feds' recent announcement of a delay on enforcement of the new claims format. Then: In November, the Centers for Medicare & Medicaid Services announced a 90-day "discretionary enforcement period" ending March 31 for 5010 use. As long as providers showed they were making a good faith effort to become compliant with the new HIPAA standards, CMS wouldn't penalize them for not using the 5010, the agency said (see Eli's HCW, Vol. XX, No. 42, p. 331). Now: CMS is whistling a different tune in its latest 5010 deadline announcement. For Part B and durable medical equipment claims, "In December 2011, submitters/receivers that have tested and been approved for 5010/D.0 will be notified that they have 30 days to cutover to the 5010/D.0 versions," [...]
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