{"id":1220,"date":"2012-05-07T07:24:46","date_gmt":"2012-05-07T07:24:46","guid":{"rendered":"http:\/\/www.medicalbillersandcodersblog.com\/?p=1220"},"modified":"2014-07-28T06:34:18","modified_gmt":"2014-07-28T06:34:18","slug":"hipaa-5010-enforcement-delayed-to-ensure-doctors-entities-complete-transition","status":"publish","type":"post","link":"https:\/\/www.medicalbillersandcoders.com\/blog\/hipaa-5010-enforcement-delayed-to-ensure-doctors-entities-complete-transition\/","title":{"rendered":"HIPAA 5010 enforcement delayed to ensure doctors & entities complete transition"},"content":{"rendered":"

Enforcement of HIPAA 5010 transactions on March 15, 2012, was delayed for the second time for another 3 months by the government, with the Centers for Medicare & Medicaid Services\u2019 Office of E-Health Standards and Services (OESS) pushing the date further to June 30, 2012, in order to not compromise physician cash flow. Physicians have previously communicated to AMA significant cash flow problems they encountered associated with the transition to HIPAA Version 5010. Essentially the rule called for compliance by January 1, 2012, however earlier on November 17, 2011 OESS announced its first enforcement delay of three months, referring to the move as “enforcement discretion”.<\/p>\n

OESS states that there are still various outstanding issues and challenges hampering full implementation, hence the delay. To make sure that all entities complete the transition OESS considers that these remaining issues necessitate an extension of enforcement discretion, anticipating transition statistics to reach 98% industry wide by the end of the enforcement discretion period.<\/p>\n

Progress on HIPAA 5010 enforcement by varied healthcare entities<\/span><\/em><\/p>\n

According to OESS Health plans, clearinghouses, providers and software vendors have been making steady progress towards enforcement:<\/p>\n\n\n\n\n\n
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  • The Medicare Fee-for-Service (FFS) program is currently reporting successful receipt and processing of over 70 percent of all Part A claims and over 90 percent of all Part B claims in the Version 5010 format<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
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  • Commercial plans are reporting similar numbers<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
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