Which 5010 Category Does Your Practice Fall Under?

If you thought there wouldn’t be any enforcement action against you regarding 5010 compliance until March 31, 2012, it’s time to think again. CMS has said that the providers are being monitored and that some of them won’t even have time until March to make the switch to 5010.

CMS declared in its December 14, 2011 news release that the progress toward 5010 compliance is being supervised and it has found that some practices are unnecessarily delaying this.

Irrespective of whether or not you’ve been tested and approved for 5010, you would have heard from your MAC to accelerate your transition timeline. The action plan that the CMS announced in its news release asking some providers to switch before March 31 is as follows:

• Submitters/receivers that have tested and been approved for 5010/D.0 will be notified that they have 30 days to cutover to the 5010/D.0 versions

• Submitters/receivers that have not yet tested will be notified in Dec. 2011 "that they must submit their transition plan and timeline to their MAC in 30 days

• MACs will notify the submitters/receivers and "submitters/receivers have the responsibility to notify the providers they service."

To read more about CMS’s plan, visit http://www.cms.gov/Versions5010andD0