Office-based providers are not prepared for the looming conversion to the ASC X12 5010 standards for claims and other administrative communications, but neither are they worried because they're leaning—heavily—on their claims clearinghouses to do the heavy lifting for them, according to health information technology market-research firm KLAS Enterprises.
Many providers shrugging off 5010: KLAS
KLAS, in a report on a survey of more than 800 healthcare providers about satisfaction levels with claims clearinghouses, came up with a "surprising fact" regarding the 5010 migration, set to be completed by Jan. 1, 2012.
“Providers,” the report said, “are not prepared or are not preparing for the migration—they either have complete faith in their clearinghouse's ability to convert the forms or they are taking an upgrade to the PM (practice management) system to handle the change."
More than one-half (55%) of providers indicated that they are relying on their clearinghouses to translate Version 4010 claims into 5010. In addition, more than four in 10 (44%) are counting on their practice management system upgrade to handle it.
"Very few providers planned to handle the migration themselves," according to the report, "and even fewer have done the testing that would qualify them as a Stage 1 user when the deadline rolls around."
According to KLAS, a lot of providers "don't even want to think about the 5010 migration." Report author Mark Wagner quoted one provider as saying, "I'm honestly trying to pretend that 5010 changes are not going to occur." If they do occur, the provider said, "I pray that (our clearinghouse) will be able to deal with the changes. Because of what they are telling me, I think they will. I hope they have been telling me the truth."
Last month, responding to industry requests for a delay, the CMS announced it would keep in place the Jan. 1 compliance date for the 5010 rule but not enforce the rule for an additional 90 days.
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