Are 5010 Woes a Precursor for an ICD-10 Disaster?

It is no secret that many practices are facing many difficulties filing claims under the new 5010 standards. Just this week MGMA President sent a letter to congress asking for an immediate inquiry into the 5010 dilemma. (Read More)

Finding the Right ICD-10 Assistance

There are many articles out there right now attempting to help guide you to ICD-10 preparedness. In this article I will try to teach you some basic tips to help you find the right materials to help you get a plan in place. (Read More)

ICD-10 Destined to be Delayed

As many of us are aware, MGMA and the AMA have recently launched campaigns to delay the ICD-10 initiative due to issues with 5010 compliance and difficulties with Meaningful Use.

Health and Human Services (HHS) Secretary Kathleen G. Sebelius has announced that HHS will initiate a process to postpone the date by which certain healthcare entities have to comply with ICD-10. (Read More)

ICD-10 and The Central Billing Office

The clinical implications of ICD-10 are well documented. These implications to the Central Billing Office(CBO),specifically your CBO, needs to be documented by you. What the CBO does to facilitate an accurate charge, process that charge and deal with payment/denial should be precisely documented. (Read More)

ICD 10: The Preparations Begin

I recently read a blog about ICD 10 that was titled "ICD 10 the perfect Storm".  Of course having seen the movie, I was interested in seeing the comparisons.  And as ends the movie, so was predicted the beginning of use of ICD10, i.e. payments come to a screeching halt as carriers unprepared to deal with new coding rules and pay accordingly. (Read More)

5010/ICD-10: the Deadline Approaches

Recently a physician contacted MedPro Solutions looking for billing information.  He was interested in outsourcing billing as  his software vendor was not ready for the 5010 upgrade and were going to charge him $35, 000 to accomplish; something they had not yet taken through beta.  Amazing news as the go live deadline for 5010 compliance is January 1, 2012.(read more)

5010: Do Not Expect a Delay in the Compliance Deadline 01/01/2012

Do not expect a delay in the compliance deadline. All physicians, other health care professionals, payers, and clearinghouses that submit HIPAA transactions will be required to use only the 5010 transactions as of the deadline. If physicians are not ready, they risk claim rejections and interrupted cash flow.(read more)

5010: 90 day grace period granted, Deadline is still 1/1/2012

On November 17th the Centers for Medicare & Medicaid Services’ Office of E-Health Standards and Services (OESS) announced that it would not initiate enforcement action until March 31, 2012, with respect to any HIPAA covered entity that is not in compliance with the ASC X12 Version 5010 (Version 5010), NCPDP Telecom D.0 (NCPDP D.0) and NCPDP Medicaid Subrogation 3.0 (NCPDP 3.0) standards. Notwithstanding OESS’ discretionary application of its enforcement authority, the compliance date for use of these new standards remains January 1, 2012 (small health plans have until January 1, 2013 to comply with NCPDP 3.0).(read more)

ICD-10 and 5010:The future is upon us, are you prepared?

If you have been pre-occupied with the strained economy and the effects of that on your revenue cycle, you may have forgotten about the ICD-10 and 5010 transitions that are beginning to take place. These two transitions will require system and business changes throughout the health care industry. ICD-10 will affect coding for everyone covered by the Health Insurance Portability and Accountability Act (HIPAA), not just those who submit Medicare claims.(read more)

ICD-10 & 5010: What about ICD-10?

ICD-10 is not only a HIM or claims problem. It has the potential to improve all mega-processes of Healthcare. If you look, ICD-9 is everywhere. ICD-10 migration creates a "ripple effect". The development of WHO’s ICD-10 code system was based on the realization that the great expansion in the use of the ICD necessitated a thorough rethinking of its structure and an effort to devise a stable and flexible classification that would not require fundamental revision for many years to come.(read more)


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