About Me

Vice President & Co-Founder of AMBS, Inc. www.AMBSinc.com Greg has been involved with the business services and outsourcing industry for the last 20 years, helping some of the largest Fortune 500 corporations, and small to medium sized healthcare practitioners with their outsourcing needs.

Wednesday, March 14, 2012

HIPAA 5010 Transition Problems


Many Physicians experience problems during 5010 Transition

On January 1, 2012, all electronically submitted HIPAA covered health insurance claims were supposed to be submitted using the 5010 platform.  Although CMS had previously announced it would not take any enforcement action against any plan or provider who was not 5010 ready until after March 1, 2012, the January 1 deadline for compliance remained in effect.
Perhaps the most consistent reports heard during the transition were that the problems – whatever they were – were someone else’s fault.  Clearinghouses blamed Health Plans (both commercial and government) and Health Plans blamed providers, clearinghouses or practice management software programs.  There were so many fingers being pointed at others over the past two months, it is a wonder there wasn’t a major up-tick in the number patients showing up in ERs with broken fingers!

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