As part of the transition from the ICD-9 to ICD-10 code sets slated for October 2013, health care providers that electronically submit administrative transactions (such as checking a patient’s eligibility, filing a claim, or receiving a remittance advice) either directly to a health insurance payer or through a clearinghouse, were required to switch to new HIPAA standards, called Version 5010, as of Jan. 1, 2012. Providers needed to have the necessary software and system changes in place by the deadline in order to continue sending and receiving HIPAA electronic transactions. The Centers for Medicare and Medicaid Services (CMS) in January 2012 delayed enforcement of the Version 5010 deadline for three months following concerns raised by providers about significant delays in payment. On March 15, CMS announced an additional extension through June 30. ACC members are strongly encouraged to ensure their systems are in compliance by this new date.
The following resources are available to providers to help ensure practices are ready for Version 5010 by: