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HIPAA
Keystone Mercy Health Plan recognizes that providers will be greatly impacted by the changes that will be required to become compliant with this federally mandated rule. We plan to communicate with you regularly to disseminate information, answer questions, address issues and concerns in this publication, faxes, e-mail, letters, as well as provide updated information on this dedicated HIPAA 5010 page. Getting Ready for the Transition to HIPAA Version 5010 Transactions The U.S. Department of Health and Human Services (HHS) as required by HIPAA has adopted standards for all covered entitites to use when conducting certain electronic health care administrative transactions. Accordingly, the mandatory compliance date for Version 5010 for all covered entities is January 1, 2012. What does this mean? The current transaction standard is X12 Version 4010A. This version is outdated and will not facilitate the implementation of ICD-10, which is anticipated for 2013. Version 5010 will include improvements to allow the use of the expanded ICD-10 sets.
Level OneDecember 31, 2010
January 1, 2011
Level TwoJanuary 1, 2012
What to Do Now? Contact your vendor and ask:
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