June 15 is 5010 Testing Day

The Centers for Medicare & Medicaid Services (CMS) will conduct a National 5010 Testing Day June 15 to help physicians prepare for the switch from ICD-9 to ICD-10 coding standards. Physicians who do not switch to ICD-10 by 2013 will not be paid for treating patients. To use the new coding system in electronic transactions, physicians must convert to HIPAA Version 5010 software standards by Jan. 1, 2012. 

CMS urges Texas physicians to contact TrailBlazer Health Enterprises, the Medicare carrier for Texas, now to gain a better understanding of testing protocols and the transition to Version 5010. It said TrailBlazer will soon provide information on transactions to be tested. Check the TrailBlazer website

Embracing the standard by fully integrating it into work systems and work flow – rather than merely complying with it – will put practices on the right track. Here's why:

  • Version 5010 corrects many of the flaws of the current 4010 version. Since Version 4010's launch in 2003, software developers have tweaked and patched it to its limits. Version 5010 incorporates hundreds of changes the medical industry has asked for.
  • You can begin to realize the administrative simplification and subsequent savings that HIPAA promised. For example, authorizations will be streamlined, saving time and hassle on the phone for you and your staff.
  • Version 5010 is a vital component for true standardization and interoperability, smoothing the way for widespread use of electronic health records.
  • It will facilitate reporting of clinical data for quality performance measures, which are poised to become a driving factor for payment of claims and performance bonuses.

By now you should be talking to your vendors and taking other steps to prepare for the conversion to Version 5010 and to ICD-10.

TMA can help you ease the way to ICD-10 adoption with boot camps and webinars that examine all angles of the task ahead. Register now. Also, go to the TMA coding page to find more information, including links to free webinars that Blue Cross and Blue Shield of Texas held in April.


Action, May 18, 2011


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