CMS de­lays en­forc­ing 5010 man­date, again

Modern Healthcare - - LATE NEWS -

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.

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