The transactions used conduct the business of health care (eligibility checking, claims, payments, etc) are being upgraded to new versions, ASC X12 Version 5010 and the companion NCPDP v D.0 and 3.0, so that claims information can be transmitted using the upcoming ICD-10 codes. Before ICD-10 can be used, everyone needs to be doing business using the updated 5010, D.0, and 3.0 transaction sets. The use of the new transactions has been required since January 1, 2012, but enforcement of the rule has been delayed until June 30, 2012 because not all providers and clearinghouses are ready to use the new transactions.
Everyone involved in conducting the business of health care should be asking their software vendors if their systems can use 5010/D.0 transaction sets, and how well they can support the transition to the new transactions. Likewise, any clearinghouses used should be queried as to their readiness, since a lack of coordination could lead to delayed revenues. Using the new standards means making many changes to business practices. There may be changes required for workflow, and training for your staff to handle the changes. In addition, any hiccups in the transition could lead to cash flow problems, so there is a strong financial incentive to be ready and coordinated with payers.
Register now and our expert speaker Jim will work through guides and check lists for the transition to the new transactions, including planning, discovering the systems that use transactions, finding out who the payers are and what their plans are, and determining what needs to be tested, and what needs to be changed in business processes. Different “levels of compliance” and how they should be met will be discussed, and readiness assessment tools will be examined. Planning for contingencies in cash flow will be discussed, and special issues for dealing with Medicare Administrative Contractors will be explored. l Also learn to explain why the changes are taking place, and what benefits will accrue to the industry and to health care by making the changes. Numerous resources for guides, checklists, and other supporting information will be provided.
Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.
Who should attend? Compliance Manager, HIPAA Officer, Chief Information Officer, Health Information Manager, Medical Office Manager, Medical Practice Lawyer, CFO, CEO, COO. Privacy Officer, Information Security Officer.
Jim Sheldon-Dean is a healthcare compliance and HIPAA expert in the areas of privacy and security regulatory compliance and business process analysis. He is the founder and director of compliance services at Lewis Creek Systems, LLC, a Vermont-based consulting firm founded in 1982, providing information privacy and security regulatory compliance services to a wide variety of healthcare entities. Jim is a frequent speaker regarding HIPAA...
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