Advanced Search

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," [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Home Health & Hospice Week

View All