MGMA Study Indicates Many Providers May Fail to Meet 5010 Deadline
Posted on Tue, Nov 01, 2011 @ 10:38 AM
All physicians, health care providers, clearinghouses, and payers that submit medical claims and HIPAA transactions will be required to use only the 5010 format as of January 1, 2012. Noncompliance will mean interruptions in cash flow.
"It is clear that a significant number of medical groups will not have the ability to transmit claims and other electronic transactions using the Version 5010 format by the Jan. 1 deadline,” said Susan Turney, MD, MS, FACP, FACMPE, MGMA president and CEO. "In particular, the study results highlight the fact that external testing with health plans is significantly delayed. It is imperative that HHS take immediate steps to ensure that practice operations are not compromised due to cash flow disruption.”
MGMA calls on HHS to issue a contingency plan for HIPAA 5010, noting that many practices and their trading partners may not be ready by the January 1, 2012 deadline. MGMA contends that if all parties are not ready by the deadline, practices could face cash flow issues that affect their operations.
Preparing for HIPAA 5010 and ICD-10 could include updating software and practice management systems, staff training, changes to medical claims processing and formating, changes to business work flows and operations, internal and external testing, revision of manuals, materials, and standard operating procedures.
Will your practice be ready by January 1, 2012? Partner with GroupOneor utilize eClinicalWorks and your practice will be ahead of the curve. Only 60 days left to get into compliance.
