Version 5010 From Centers for Medicare and Medicaid Services

As of January 1, 2012 all HIPAA covered entities must be compliant with Version 5010. Any electronic transaction for which a standard has been adopted must be submitted using Version 5010. Electronic transactions that do not use Version 5010 are not compliant with HIPAA and will be rejected.

HHS authorized an enforcement discretion period through June 30, 2012. During this time, CMS did not initiate enforcement action against any covered entity that was not compliant with the updated Version 5010/D.0 standards. Med-Certification encourages providers to stay abreast of these important developments and to use the online information and resources to accomplish that.

Industry Collaboration

WEDI, CMS, many industry organizations, and stakeholders collaborated on a series of three webinars to help the entire health care industry become fully complaint in ASC X12 5010 implementation. A multi-tiered campaign was launched to gather feedback, track challenges, and identify and provide guidance to correcting ASC X12 5010 implementation-related issues, especially among commercial payers.

The last webinar was held on June 25, 2012. View the WEDI_CMS Power Point and audio recording from the webinar to learn more.

The online issues reporting tool is available to help address ongoing issues. Covered entities may continue to submit issues associated with implementing ASC X12 5010, and search through a database documented problems.

Version 5010 Resources

CMS has developed fact sheets to help you prepare for the transition to Version 5010. Visit CMS.gof for up to date information and recommendations.

  • FAQs: Versions 5010 and D.0 Transition Basics
  • Versions 5010, D.0, and 3.0 Overview
  • Version 5010: Testing Readiness, What You Need to Know
  • Talking to Your Vendors About ICD-10 and Version 5010

For more information from medical transcription school specialist, Med-Certificaiton, visit them online.