CMS delays enforcing 5010 mandate, again
The CMS delayed enforcing the mandated move to Version 5010 transaction standards for an additional three months, until after June 30. The deadline for the switch to the 5010 standards was Jan. 1. In November, the CMS announced that although it was not changing the actual deadline for complying, it would not initiate enforcement action until March 31. Last week, the CMS’ Office of E-health Standards and Services said no action will be taken against noncompliant medical practices, hospitals and other healthcare entities through June 30. The agency said in an e-mailed announcement that officials are “aware that there are still a number of outstanding issues and challenges impeding full implementation.” The industry is making “steady progress” in the conversion, the agency said, noting that the Medicare fee-for-service program was successfully processing 70% of Medicare Part A claims and more than 90% of Part B claims in the 5010 format. Commercial plans have been reporting “similar numbers,” and state Medicaid agencies are “showing progress,” the agency said. The enforcement delay was announced shortly after the MGMA-ACMPE posted a letter to Marilyn Tavenner, CMS acting administrator, asking for more time and more help from health plans and clearinghouses in identifying errors in Version 5010 claims.