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

Only 90 Days Left Until Full 5010 Implementation - Important Information for 
Medicare Fee-For-Service Providers


Version 5010 Testing Week Shows Promising Version 5010 Testing Results



The CMS Version 5010 team held its second National Testing event the week of 
Monday, August 22, 2011 to Friday, August 26, 2011.  During National Testing 
Week, 1252 Medicare Fee-For-Service (FFS) trading partners conducted testing 
with the Medicare Administrative Contractors using the Version 5010 format that 
all covered entities are required to use beginning Sunday, January 1, 2012.



Results
These 1252 trading partners submitted a total of 67,782 test files and no 
significant error scenarios were reported.  Additionally, 74 trading partners 
responded to a follow-up survey about National Testing Week that found that:

 *   45% of those surveyed responded that they were testing the 837I with 
Medicare;
 *   72% responded they were testing the 837P with Medicare;
 *   43% responded they were testing the 835 with Medicare;
 *   24% responded they were testing the 276/277 with Medicare; and
 *   54% responded they were exchanging test files with payers other than 
Medicare.



Additional results show that transition to production is progressing.  
Twenty-six percent of trading partners stated they were currently in production 
status, with an additional 42% stating that they expect to be in production 
status within the next month.  Most respondents (72%) stated that they were 
able to receive and process a 277CA while testing.


More Information
Medicare FFS providers should take advantage of the many resources we have 
provided on the 5010-dedicated website at 
http://www.CMS.gov/Versions5010andD0<http://www.CMS.gov/Versions5010andD0/>.



5010/D.0 Implementation Items


The HIPAA 5010 compliance date is fast approaching.  There are only 90 days 
left until full implementation on Sunday, January 1, 2012.  Don't wait! Contact 
your local Medicare Administrative Contractor and 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 Sunday, January 1 - the 
date when only 5010 transactions will be accepted.

Reminder - Saturday, 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

§  Wednesday, October 5 - MAC-Hosted Outreach and Education Session - Last Push 
for Implementation

§  Monday, October 24, 2011 through Thursday, October 27, 2011 - WEDI 2011 Fall 
Conference<http://www.wedi.org/forms/meeting/MeetingFormPublic/view?id=11927000002B1>
 - (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.)

Upcoming Events

§  Wednesday, November 9 - CMS-hosted 5010 National Provider Call - HIPAA 5010 
Status Update

§  Wednesday, December 7 - CMS-hosted 5010 National Provider Call - Question & 
Answer Session

§  Saturday, December 31 - End of the transition year; beginning of 5010 
production environment

Past Events

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

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2011-2012 Influenza Vaccine Prices Are Now Available


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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