In its continuing effort to help trading partners transition to the new versions of standards adopted under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) for electronically exchanging health care transactions, Medicare FFS has the following updates for the week of July 23, 2012:
* One week remaining to transition to the Accredited Standards Committee (ASC) X12 Version 5010 (5010) Remittance Advice (835) * Remittance Advice (835) Closeout Activities One Week Remaining To Transition to Version 5010 for the Remittance Advice (835): Providers are encouraged to test with Medicare and transition to version 5010 for remittance advice now! The new version 5010 introduces some significant improvements over the current version ASC X12 Version 4010; e.g., in version 5010, the Health Policy Segment will report the National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs). In addition, the 835 also will have the website where the specific LCD/NCD code is explained. Providers will have access to the code as well as the code description. The 5010 version of the 835 also will contain technical contact information not currently in version 4010. Version 5010 contains new segments such as coverage expiration date and claim received date which will help provider's access important information without manual intervention. If you haven't already finished testing, please contact your Medicare contractor and begin testing so that you are ready on or before August 1, 2012. If you have already finished testing, contact your Medicare contractor and start receiving the version 5010 835s NOW. Remittance Advice Closeout Activities (835): Beginning August 1, 2012, the Medicare FFS program shall produce only the 835 remittance advice transaction in the ASC X12 Version 5010. Medicare FFS has stated in previous communications that trading partners would be allowed an additional 30 days to complete the 835 remittance advice transaction transition. Medicare FFS' internal processes related to closeout activities for the 835 remittance transaction include the generation of the last Accredited Standards Committee (ASC) X12 Version 4010A1 835 data on July 31, 2012. Remittance Advice files from the last processing cycle will be available for retrieval upon conclusion of the July 31, 2012, batch cycle. More Information: For more information on ASCX12 Version 5010 and NCPDP Version D.0, please visit the Versions 5010 and D.0 website<http://www.cms.gov/Versions5010andD0>. ________________________________ If you know someone who would like to subscribe to a Medicare Fee-For-Service (FFS) provider listserv, go to http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads//MailingLists_FactSheet.pdf<http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/MailingLists_FactSheet.pdf> and select the appropriate listserv to subscribe. If you would like to unsubscribe from a specific provider listserv, please go to (https://list.nih.gov/cgi-bin/wa.exe?INDEX) to unsubscribe or to leave the appropriate listserv. Please DO NOT respond to this email. This email is a service of CMS and routed through an electronic mail server to communicate Medicare policy and operational changes and/or updates. Responses to this email are not routed to CMS personnel. Inquiries may be sent by going to (http://www.cms.gov/About-CMS/Agency-Information/ContactCMS/index.html). Thank you.
