Use of the Version 5010 standards for HIPAA electronic health care transactions, including claims, remittance advice, eligibility inquiries, referral authorization and other administrative transactions, will be mandatory on Jan. 1, 2012. The Version 5010 standards also provide the framework needed for use of the revised medical data code sets (ICD-10-CM and ICD-10-PCS), that must be implemented on Oct. 1, 2013.
The greatly expanded ICD-10 code sets will support quality reporting, pay-for-performance, bio-surveillance and other critical activities, and provide a rich terminology for use of electronic health records. The ICD-10 code sets will also link to the standards and certification criteria for demonstrating “meaningful use” of certified EHR technology under the Medicare and Medicaid EHR incentive program.
Read the CMS reminder on Version 5010 testing.
Read more coverage on Version 5010: