Health Information Management

Healthcare News: Medicare FFS to reject version 4010 electronic transactions as of July 1

JustCoding News: Inpatient, June 20, 2012

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Medicare Fee-For-Service (FFS) will accept only ASC X12 Version 5010 or NCPDP Telecom D.0 electronic transactions beginning on July 1, according to a CMS June 11 Medicare Fee-For-Service Provider Partnership Program e-newsletter.
Any providers still using Version 4010 for claims submission need to implement Version 5010 by that date, and should contact their software vendors, billing services, or clearinghouses to ensure readiness, according to CMS. CMS will reject Version 4010 claims received after the normal close of business on June 29.

All claim status activity will also be in Version 5010 after that date. However Medicare FFS will allow an additional 30 days to complete the remittance advice (835) transition due to issues it has experienced during the transition. Transactions conducted by Medicare Administrative Contractors (MAC) and fiscal intermediaries (FI) will not be affected.

For more information, visit the Versions 5010 and D.0 website.

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