Warning: Medicare on Schedule for 5010 Upgrade

Medicare expects its fee-for-service systems will be tested and fully operational on the X12 5010 standard by January 1, 2011. That’s bad news for health plans that may have been hoping the big payer would run late and create an industry-wide delay.

The upgrade to the HIPAA transaction 5010 standard was announced in tandem with the January 2009 final rule mandating the upgrade to ICD-10-CM and -PCS. The 5010 standard is necessary to support ICD-10.

According to a timeline published in the final rule, by the end of 2010 covered entities should have completed internal testing and can send and receive compliant transactions (“level 1” testing). In January 2011 they begin testing with trading partners and move into production (level 2). The compliance date for all covered entities is January 2012, one year in advance of the ICD-10 deadline.

Read more in the current issue of AHIMA ICD-TEN newsletter.

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