10 Definitions of Version 5010 Readiness

As hospitals, physicians, software vendors, clearinghouses and payors gear up for HIPAA Version 5010, which will go live on Jan. 1, 2012, the Healthcare Billing and Management Association (pdf) offered 10 definitions in a letter to CMS of what it means to be “ready” for Version 5010.

Providers and clearinghouses are “5010 ready” when they complete the following items:

•   Completion of all practice management system upgrades.
•   Confirmation of successful testing with direct submission carriers.
•   Confirmation of successful testing with clearinghouses where applicable.
•   Confirmation of successful production submission of claims.
•   Confirmation of successful retrieval of the claims’ associated remittance.

Payors and clearinghouses are “5010 ready” when they complete the following items:

•   Completion of all system upgrades.
•   Confirmation of successful testing with direct submitting providers.
•   Confirmation of successful testing with clearinghouses where applicable.
•   Confirmation of successful acceptance of production claims submission.
•   Confirmation of successful return of the claims’ associated remittance.

10 Definitions of Version 5010 Readiness

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