AMA Wire

Wednesday, March 21, 2012

This Week's News

CMS to delay enforcement of HIPAA version 5010 until July 1

CMS to delay enforcement of HIPAA version 5010 until July 1

Acting upon AMA concerns about persisting problems with the Health Insurance Portability and Accountability Act (HIPAA) version 5010 electronic transactions, the Centers for Medicare & Medicaid Services (CMS) has announced an extension of the grace period through June.

Physicians, payers and other entities using electronic health care transactions were required to use only the version 5010 transactions beginning Jan. 1, but CMS issued a 90-day grace period that was to expire March 30. However, serious claims processing issues have caused payment delays and other issues for many physicians.

Working to help physicians resolve these issues, the AMA also has repeatedly brought them to the attention of CMS. Based on the continuation of many of these problems, the AMA sent a letter to CMS requesting another three-month delay of enforcement. CMS announced March 15 that it will extend the grace period until July 1 to allow additional time to resolve these ongoing claims processing issues.

Physicians who continue to experience claims processing difficulties should complete a complaint form so the AMA can help resolve these issues and alert CMS to ongoing problems.