LeadingAge Washington

1/10/12

Enforcement Delayed - Nursing Home Upgrade to Version 5010, ICD 10

The Version 5010 deadline was on January 1, 2012; however, because of the 90-day enforcement discretion period for all HIPAA covered entities upgrading to Version 5010 (ASC X12 Version 5010), the Centers for Medicare & Medicaid Services (CMS) will not initiate enforcement action until April 1, 2012.

CMS made this decision based on industry feedback that many organizations and their trading partners were not yet ready to finalize system upgrades to be compliant. CMS encourages you to continue internal testing as well as external testing of Version 5010 transactions with trading partners to ensure compliance for Version 5010.

Although enforcement action will not be taken prior to April 1, 2012, it is important that you continue to move forward to meet Version 5010 requirements as soon as possible. In addition to testing, if you have not yet created a plan for Version 5010, you should do so in order to meet these compliance deadlines.

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