Advanced Search

Home Health & Hospice Week

Industry Note:

MAC Calls Providers On The Carpet For 5010

Published on Sat Apr 10, 2010

Think that your HHH Medicare Ad-ministrative Contractor hasn't noticed that you aren't submitting claims in the 5010 format and haven't submitted a transition plan? Think again. "Submitters and trading partners still submitting 4010A1 production claims must submit a 5010 Trading Partner Testing/Transition Plan," stresses HHH MAC National Government Ser-vices in a message to providers. "These plans were due to National Government Services by February 1, 2012 for professional submitters and March 2, 2012 for institutional submitters regardless of the Health Insurance Portability and Accountability Act (HIPAA) Enforcement Guidance extension." (That extension puts off CMS's enforcement of the 5010 requirement until June 30.) "Your plans must include the reason for not migrating to the 5010 format," NGS instructs. NGS "is paying close attention to reasons causing trading partner/submitter delays and will be making contact for more information." Even if you submitted a plan, you still may not be off the hook. [...]
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