In November, the OESS announced it would not “initiate enforcement action” against any covered entity that was not compliant with the Version 5010 standards by the Jan. 1, 2012, compliance date and allowed an enforcement discretion period through March 31, 2012. This original decision was based on feedback from providers and trading partners. The OESS decided to delay compliance again because there “are still a number of outstanding issues and challenges impeding full implementation,” according to the release.
The OESS said providers, health plans, clearinghouses, billing vendors and software vendors have made “steady progress” in the transition to Version 5010. Currently, Medicare is reporting successful receipt and processing of more than 70 percent of all Part A claims and more than 90 percent of all Part B claims. Some state Medicaid agencies have also made the full transition to Version 5010.
CMS, the OESS and all other affiliated parties will continue to address the “outstanding issues,” including those with Medicare Administrative Contractors, and CMS expects this extension can “ensure that all entities can complete the transition.”
Related Articles on Version 5010:
In the Fog of Delay: What’s Next for ICD-10?
3 Issues to Monitor in the Upgrade to Version 5010
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.
