Share
HIPAA 5010
About
The U.S. Department of Health and Human Services (HHS) issued a final rule to move to the next generation of HIPAA electronic transaction standards (5010) by January 1, 2012. This rule applies to any healthcare entity that submits electronic standard transactions.
The Centers for Medicare & Medicaid Services (CMS) issued two statements announcing a grace period for this rule. Consistent with the latest statement issued by CMS, IBC will observe a second 90-day grace period for enforcement of the new HIPAA 5010 transaction standards. This second grace period will expire on June 30, 2012.
Compliance Timeline
January 1, 2012: The original compliance date for conversion to HIPAA 5010 (errata version) was January 1, 2012.
March 31, 2012: In late 2011, CMS issued a statement announcing a grace period of the enforcement of the new HIPAA 5010 transactions standards through March 31, 2012.
June 30, 2012: In early 2012, CMS issued a second statement extending the grace period to June 30, 2012.
IBC will comply with the HHS rule to move to 5010 standards. However, IBC will continue to accept and remit 4010A transactions through the recommended enforcement grace period, ending on June 30, 2012.How to Prepare
Providers should prepare for the implementation of the new 5010 standards by speaking to their trading partner to ensure that their trading partner is compliant and ready to electronically submit standard transactions using version 5010 by June 30, 2012.
What Will Change
- The new HIPAA 5010 standards have improved functionality and fully support NPI and the new International Classification of Diseases, Tenth Revision (ICD-10) code sets. Please visit the ICD-10 page for more information on the transition.
- For the list of specific transaction versions that will change, please refer to the below FAQ.
Frequently Asked Questions About HIPAA 5010
Please refer to the following document for information regarding the transition to 5010.
