Corporate Compliance

HIPAA 5010 deadline extended, but threat remains, says AMA

Compliance Monitor, February 8, 2012

CMS' Office of E-Health Standards and Services (OESS) has announced a 90-day period of "enforcement discretion" for compliance with the 5010 HIPAA transaction standards, but leading professional organizations say that is not enough, according to a February 6 HealthLeaders Media article.

Expressing serious concerns about the ability of physician practices and payers to make the conversion to the 5010 electronic transaction standards and ICD-10 (a new code set for medical diagnoses) in time, both MGMA and the AMA are calling for change. The two agencies say that the government needs to form a comprehensive contingency plan permitting health plans to adjudicate claims that may not have all the required data content; or the government needs to call an outright halt to the transition.

CMS has extended the 5010 compliance deadline to March 31, 2012. OESS announced that it is delaying compliance enforcement in order to allow more physician practices the opportunity to implement the new billing coding standard without incurring penalties. The 90-day delay did not affect the implementation date for the coding systems, which took effect January 1, 2012 (January 1, 2013, for small health plans).

Read more on the HealthLeaders Media website.