Tag Archives: 5010

Resolution of the 5010 Electronic Claims Submission 496 Edit

Jurisdiction 11 Home Health and Hospice With the implementation of Accredited Standards Committee (ASC) X12 Version 5010, the Medicare Administrative Contractors (MACs) have received a large increase in calls from billers regarding the 496 edit, more commonly referred to as … Read Full Post

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What We’re Reading – Top Five Rejections Related to HIPAA Version 5010

The conversion to 5010 on January 1st has been relatively smooth one, but there has been some hiccups along the way that have caused denials and associated cash flow disruptions.  Ken Bradley researched the reasons that claims were being denied … Read Full Post

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CMS Provides Guidance on 5010 Discretionary Enforcement Period for Medicare Fee for Service

Medicare Fee-for-Service (FFS) issued an announcement on December 14th regarding its plan for the 90 Day Discretionary Enforcement Period for non-compliant HIPAA covered entities.  According to that announcement, CMS provided a 90 day discretionary period for compliance with planned January … Read Full Post

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5010 – Much Ado about Nothing?

It seems like not a day goes by in healthcare without some gloomy prediction about the changes lurking on the horizon. The one causing the most stir at the moment is 5010. To understand “5010,” we first need to take … Read Full Post

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