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You are here: Home / Articles / Practice Pearls: Final Countdown for Version 5010!

Practice Pearls: Final Countdown for Version 5010!

December 12, 2011 • By Staff

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Beginning January 1, 2012, all providers who use electronic transactions on a daily basis for claims, eligibility determinations, remittances, or referral authorizations will have to be compliant with the new version to receive payments or communication for patient claims.

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In preparation, practices should verify that systems are ready, and have the following resources in place:

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  • A list of payers, including a contact person and phone number/e-mail address for each;
  • A list of your clearinghouse(s), including a contact person and phone number/e-mail address for each, if applicable;
  • The system vendor contact person and his or her phone number/e-mail address;
  • Assigned staff to monitor the exchange of the 5010 transactions; and
  • A process to report any issues identified with the transactions to the appropriate vendor or payer.

Contact ACR staff at [email protected] if you have any questions or need assistance with implementation.

UPCOMING HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT DATES

  • • January 1, 2012—Version 5010 transactions compliance
  • • October 1, 2013—ICD-10 code sets implementation

Filed Under: From the College, Practice Management Tagged With: Billing, Coding, Health Insurance, Practice Management, ReimbursementIssue: December 2011

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