HIPAA 5010 Takes Effect July 1

The HIPAA 5010 grace period ends June 30. Starting July 1, if you do not file your electronic claims under the Health Insurance Portability and Accountability (HIPAA) 5010 transaction standards, Medicare, Medicaid, and other health plans will reject the claims.

TMA advises you to contact your practice management system electronic health record system vendors, claims clearinghouse, and health plans to verify that your claims are fully 5010-compliant. If not, now is the time to correct your claims data entry process. If you think your practice will not be HIPAA 5010-compliant by July 1, consider taking steps to ensure you have adequate cash flow until you do comply. For example, you may need to establish a line of credit with your bank or other financial institution, or set aside cash reserves.

HIPAA 5010 transaction standards took effect Jan. 1, originally with a March 31 deadline to begin using them. Acknowledging that many physicians and billing entities weren't going to be ready by then, the Centers for Medicare & Medicaid Services gave physicians three more months before beginning enforcement.

Log on to TMA's HIPAA 5010 Resource Center for more information.

Published June 13, 2012 

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Last Updated On

May 25, 2016

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