Medicare Fee-For-Service Version 5010 Specialty Types Transition Information

CMS has recently published information by provider specialty related to the 
transition activity of the Accredited Standards Committee (ASC) X12 Version 
005010. Review the Specialty Transition 
Reports<http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/EDIPerformanceStatistics/Downloads/5010SpecialtyStats0525.pdf>
 on the CMS website.

Effective July 1, 2012 only ASC X12 Version 5010 (Version 5010) and NCPDP 
Telecom D.0 (NCPDP D.0), standard claim transactions will be accepted by 
Medicare Fee-For-Service.

Provider associations may wish to review this material and assist their 
membership accordingly in order to avoid any interruption in claim filing and 
claim payment activities.

Special Note Regarding Claims for Ambulance Services:  The ASC has not 
previously required that diagnosis codes be reported on claims for ambulance 
services.  However, as CMS has previously advised, with the implementation of 
version 5010, diagnosis codes will be required on all claims, including 
ambulance claims. Therefore, this message serves as a reminder that, with the 
implementation of version 5010, entities billing ambulance services are 
required to submit diagnosis codes on all claims for such services.

For more information on ASCX12Version 5010 and NCPDP D.0, please visit the 
Versions 5010 and 
D.0<http://www.cms.gov/Regulations-and-Guidance/HIPAA-Administrative-Simplification/Versions5010andD0/index.html?redirect=/Versions5010andD0>
 website.

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