With just 149 days to go before a key claims processing compliance deadline arrives, the CMS and its Medicare fee-for-service program have set Aug. 22-26 as National 5010 Testing Week.
CMS announces 5010 testing day results, sets testing week
During that week, providers and other organizations that process Medicare claims can test the compliance of their software systems with the ASC X12 Version 5010 data-exchange standards. A real-time help desk and Medicare administrative contractors will be available for assistance, the CMS announced in an e-mail.
More information about Version 5010 activities is available online from the CMS.
The CMS also released results from its first National 5010 Testing Day, held June 15. On that day, 349 trading partners submitted 974 files with "no significant error scenarios," according to an e-mailed statement from the CMS. Nearly one-third (32%) of participants in a survey said "they feel ready to process" 5010 transactions in the course of their regular business, while 39% were able to receive and process a 277CA (claims acknowledgment).
Under revisions in the American Recovery and Reinvestment Act of 2009 to the Health Insurance Portability and Accountability Act of 1996, Medicare providers and other organizations that do business with the Medicare program must begin exchanging electronic claims and other benefits-related transmissions using the 5010 family of standards by Jan. 1, 2012.
Conversion from the current 4010 standards to 5010 is seen as a necessary precursor to the bigger switch from the International Classification of Diseases 9th Edition, or ICD-9, family of clinical codes now in use to the substantially larger and more complex ICD-10 code sets.
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