Home Health & Hospice

HIPAA 5010 Implementation Drawing Closer

Homecare Insider, March 14, 2011

January 1, 2011 marked the beginning of the Health Insurance Portability and Accountability Act (HIPAA) 5010 transition year. Testing with external trading partners began in January and testing with the version 5010 Errata will begin in April. 

The implementation of HIPAA 5010 presents substantial changes in the content of the data that you submit with your claims as well as the data available to you in response to your electronic inquiries, according to the Centers for Medicare and Medicaid Services (CMS). The implementation will require changes to the software, systems, and perhaps procedures that you use for billing Medicare and other payers. CMS has stated that it is extremely important that providers are aware of these HIPAA changes and plan for their implementation.

Agencies should begin preparing for the transition and not wait until April to begin testing. Compliance with the Errata must be achieved by the original regulation compliance date of January 1, 2012.

To begin preparation, agencies should access the Errata requirements and testing schedule and investigate readiness checklists and educational resources.

To learn more about this implementation, click here.