Washington Connexion, Oct. 12, 2011
MGMA concern: vendors, plans not ready for 5010
With compliance just 80 days away, MGMA remains concerned that practice management system vendors and health plans will not meet the Jan. 1, 2012 deadline to transition to HIPAA Version 5010. This could impact the ability of physician practices to send and receive compliant electronic transactions. MGMA is asking members to complete a brief Legislative and Executive Advocacy Response Network (LEARN) questionnaire to gauge the readiness level of practices and their trading partners.
These electronic transaction standards include the claim, remittance advice, patient insurance eligibility verification, claim status and others. If practices cannot transmit claims and other electronic transactions using the new format by the first of the year, they run the risk of experiencing significant cash flow disruption. Should the results of this LEARN research suggest that physician practices will struggle to meet the compliance date, MGMA will use this information to request that the Centers for Medicare & Medicaid Services develop an appropriate contingency plan.
For additional HIPAA 5010 information, go to: cms.gov/Versions5010 or mgma.com/5010