CMS Delays Enforcement of Verison 5010 HIPAA Standards

Enforcement of the verison 5010 HIPAA transaction standards will be delayed until March 31, 2012, the Centers for Medicare and Medicaid Services announced today.

While the official deadline to implement the standards remains January 1, 2012, CMS’s Office of e-Health Standards and Services will not begin enforcement for 90 days to allow HIPAA-covered entities an opportunity to fine-tune their systems, according to a CMS press release.

OESS made the decision to delay enforcement after receiving industry feedback that some covered entities and their data trading partners would not be ready to comply with the new standards by the deadline.

“Feedback indicates that the number of submitters, the volume of transactions, and other testing data used as indicators of the industry’s readiness to comply with the new standards have been low across some industry sectors,” CMS wrote in the press release.

OESS also received reports that many covered entities were still awaiting software upgrades necessary to use the 5010 standards.

While the delay gives entities some breathing room to implement the standards, OESS is still encouraging entities to work with data trading partners to become complaint on the new HIPAA standards by January 1.

The ASC X12 Version 5010 transaction standards are used in the electronic exchange of administrative and financial information between healthcare providers and health plans. CMS announced the upgrade deadline in January 2009.

The updated standards are a prerequisite for using the ICD-10-CM/PCS code sets in electronic health care transactions. Organizations are required to begin using ICD-10 codes on October 1, 2013.

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