CMS publishes HIPAA 5010 information

CMS released a Medicare Learning Network (MLN) article outlining the transition to the new electronic transaction and pharmacy standards mandated as part of the Health Insurance Portability and Accountability Act (HIPAA).  The transactions, known as the “5010” transaction standards and “D.0” pharmacy standards, address electronic claims, electronic eligibility verification, electronic claim status, electronic referral certification and authorization, electronic remittance and more. Version D.0 of the pharmacy standards will facilitate both coordination-of-benefits claims processing and Medicare Part D claims processing. The government has set a compliance date of Jan. 1, 2012, for practices and others to begin using the new standards.
To read the full MLN Matters provider education article: click here
on the CMS website.