Home Care Software Achieves 5010 Readiness
Posted on Wed, Oct 19, 2011
Home Care Software announces that the CareSmart AMS software has received notification of HIPAA 5010 readiness for the following intermediaries and clearinghouses:
- NGS (MEDICARE)
- PALMETTO GBA (MEDICARE)
- MEDICAID (EDS)
- EMDEON
- GATEWAY EDI - INSTITUTIONAL CLAIMS
The federal government mandated that all covered entities (including providers, clearinghouses and health plans) must transition to the latest version of the Health Insurance Portability and
Accountability Act (HIPAA) electronic transaction standards and code sets.
January 1, 2012: The 5010 version of the electronic transactions standards will replace the current 4010 version.
Key transaction areas affected by the 5010 implementation:
- Eligibility
- Claim Inquiry
- Auth and Referral
- Premium Payment
- Enrollment
- Remittance
- Claim Submission
As you know, these changes
seek to reduce the administrative burden of health care by increasing the consistency, accuracy and efficiency of electronic transaction interchanges.
Home Care Software will continue to post additional intermediaries and clearinghouses as the CareSmart AMS continues the testing process.
CareSmart AMS clients should contact their account manager with any questions.
To learn more about 5010, visit the Centers for Medicare & Medicaid Services web site: http://www.cms.gov/Versions5010andD0/
CareSmart U is offering 5010 Implementation Webinars
Sign up for one today!
