CMS recently announced a 90-day enforcement discretion period for all Health Insurance Portability and Accountability Act (HIPAA)-covered entities regarding the Version 5010 (ASC X12 Version 5010) transition.

The compliance deadline for the implementation of Version 5010 is still January 1, 2012; however, CMS will not initiate enforcement action until March 31, 2012.

CMS made this decision based on industry feedback that many organizations and their trading partners were not ready to finalize system upgrades for this transition. CMS encourages you to continue internal and external testing of Version 5010 transactions with trading partners to ensure compliance for Version 5010. Although enforcement action will not be taken prior to March 31, 2012, it is important that you continue to move forward to meet Version 5010 requirements as soon as possible.

During the 90-day enforcement discretion period, the Office of E-Health Standards and Services (OESS) will continue to accept complaints associated with compliance with Version 5010, NCPDP D.0 and NCPDP 3.0 transaction standards beginning January 1, 2012. HIPAA-covered entities that are subject to these complaints must produce evidence of either compliance or an established plan to become compliant within the enforcement discretion period. In addition to testing, if you have not yet created a transition plan for Version 5010, you should do so to meet these compliance deadlines.

Visit the CMS ICD-10 Web site’s Latest News page External Link Icon for additional resources and more information on this enforcement discretion period

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