Important Information for Medicare Fee-For-Service (FFS) Providers
Only 100 Days Left Until Full 5010 Implementation

[cid:[email protected]]<http://www.cms.gov/Versions5010andD0/30_CMS_Communications.asp>


The HIPAA 5010 compliance date is fast-approaching. There are only 100 days 
left until full implementation on Jan 1, 2012.

As of January 1, 2012, Version 5010 will be required for all HIPAA standard 
transactions. This means:

*         Beginning Jan 1, 2012 HIPAA Version 4010A1 will no longer be accepted 
by Medicare.
*         All trading partners must operate in HIPAA Version 5010.

It is essential to begin the transition now to prevent a disruption to your 
claims processing and cash flow.

If you have not done so already, CMS strongly encourages you to begin 
exchanging Version 5010 transactions with your Medicare Administrative 
Contractor (MAC) NOW to ensure compliance with the January 1, 2012 impact date.

As a reminder, CMS offers free billing software that is Version 5010 compliant. 
Please contact your MAC, FI or Carrier to obtain the latest Version of PC-Ace 
Pro32. CMS also provides the Medicare Remit Easy Print (MREP) software to view 
and print compliant HIPAA 5010 - 835 remittance advices.  Please visit 
http://www.cms.gov/AccesstoDataApplication/02_MedicareRemitEasyPrint.asp to 
view this software.

More information:
Medicare FFS providers should take advantage of the many resources we have 
provided on the 5010 dedicated website located at 
https://www.cms.gov/Versions5010andD0/

Don't wait! TEST NOW to avoid possible delays in payment due to the end-of-year 
rush in 5010 testing. Testing now will allow time for any needed corrections 
prior to Jan 1, 2012 - the date when only 5010 transactions will be accepted.





5010/D.0 IMPLEMENTATION ITEMS

 The HIPAA 5010 compliance date is fast-approaching. There are only 100 days 
left until full implementation on Sun Jan 1, 2012. Please contact your local 
Medicare Administrative Contractor (MAC) and TEST NOW!

REMINDER  -  January 1, 2011 marked the beginning of the 5010/D.0 transition 
year
REMINDER  -  Versions 5010 & D.0 FAQs are 
Available<https://questions.cms.hhs.gov/app/answers/list/kw/5010>
REMINDER  -  National Testing Day Message 
<http://www.cms.gov/Versions5010andD0/Downloads/5010_National_Testing_Day_Message.pdf>
REMINDER  -  5010/D.0 Errata requirements and testing schedule can be found 
here<http://www.cms.gov/Versions5010andD0/Downloads/Errata_Req_and_Testing.pdf>
REMINDER  -  Contact your MAC for their testing 
schedule<http://www.cms.gov/Versions5010andD0/Downloads/Reminder-Contact_MAC.pdf>
READINESS ASSESSMENT  -  Have you done the following to be ready for 
5010/D.0?<http://www.cms.gov/Versions5010andD0/Downloads/Readiness_1.pdf>
READINESS ASSESSMENT  -  What do you need to have in place to test with your 
MAC?<http://www.cms.gov/Versions5010andD0/Downloads/Readiness_2.pdf>
READINESS ASSESSMENT  -  Do you know the implications of not being 
ready?<http://www.cms.gov/Versions5010andD0/Downloads/Readiness_5010.pdf>


5010/D.0 IMPLEMENTATION CALENDAR

CURRENT EVENTS:

October 2011
5th                    MAC-Hosted Outreach and Education Session - Last Push 
for Implementation
24th - 27th        WEDI 2011 Fall 
Conference<http://www.wedi.org/forms/meeting/MeetingFormPublic/view?id=11927000002B1>*


UPCOMING EVENTS:

November 2011
9th                           CMS-Hosted 5010 National Call - HIPAA 5010 Status 
Update

December 2011
7th                                         CMS-hosted 5010 National Call - 
Question & Answer Session
31st                         End of the transition year, and the beginning of 
5010 production environment


PAST EVENTS:

For a complete list of past 5010 National Calls, please visit the 5010 National 
Calls section of our Versions 5010 & D.0 
website<http://www.cms.gov/Versions5010andD0/V50/list.asp#TopOfPage>.


* Information about events in which CMS Medicare FFS staff participates may be 
applicable to the healthcare industry at large, though the events are geared 
toward the Medicare FFS audience.




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Vaccinate Early to Protect Against the Flu /2011-2012 Influenza Vaccine Prices 
Are Now Available



The Centers for Disease Control and Prevention recommends a yearly flu 
vaccination as the first and most important step in protecting against flu 
viruses.  Remind your patients that annual vaccination is recommended for 
optimal protection.  Medicare pays for the flu vaccine and its administration 
for seniors and other Medicare beneficiaries with no co-pay or deductible.  
Take advantage of each office visit and start protecting your patients as soon 
as your 2011-2012 seasonal flu vaccine arrives.  And don't forget to immunize 
yourself and your staff.  Get the Flu Vaccination - Not the Flu.

Remember - Influenza vaccine plus its administration are covered Part B 
benefits.  CMS has posted the 2011-2012 seasonal influenza vaccine payment 
limits at: http://www.CMS.gov/McrPartBDrugAvgSalesPrice/10_VaccinesPricing.asp



Note that influenza vaccine is NOT a Part D-covered drug.  For information 
about Medicare's coverage of the influenza vaccine and its administration, as 
well as related educational resources for healthcare professionals and their 
staff, visit http://www.CMS.gov/MLNProducts/35_PreventiveServices.asp.



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