5010 – Ready or Not It’s Here!

Jackie Griffin

Recently, the Centers for Medicare & Medicaid Services (CMS) announced it would not take enforcement measures against Health Insurance Portability and Accountability Act (HIPAA)-covered organizations that were not 5010 compliant until June 30, 2012. This is not an extended deadline for compliance, simply a grace period before the agency begins taking enforcement actions.

However, providers may already be experiencing an increase in claim rejections. To minimize reimbursement delays, rejection reports should be monitored for the following potential roadblocks.

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