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CMS has delayed forcing 5010 requirements (90-day Discretion Period)

CMS announced on Thursday November 17th that it will hold off until March 31, 2012, on enforcing its rule requiring the switch to using the ASC X12 Version 5010 standards for the electronic transmission of healthcare claims and other administrative communications. However, the Jan. 1, 2012 compliance deadline for Version 5010 will not be changed.

CMS has stated its decision is “based on industry feedback revealing that, with only about 45 days remaining before the Jan. 1, 2012 compliance date, testing between some covered entities and their trading partners has not yet reached a threshold whereby a majority of covered entities would be able to be in compliance by January 1.”

Click here for a list of frequently asked question from CMS.

Medicare Fee-for-Service (FFS) will soon issue direction to the Medicare Administrative Contractors (MACs) on how these transactions are to be processed on January 2, 2012.  Further guidance related to Medicare Fee-for-Service will be available via listserv messages and the CMS website.


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