Medicare Claims Must Use Version 5010 Format By April 1, 2012
CMS is reminding Medicare providers that the enforcement discretion period for updated HIPAA ASC X12 Version 5010 (Version 5010) standard ends March 31, 2012. All Medicare fee-for-service transactions must be in version 5010 format by April 1, 2012; transactions using 4010 formatting will be returned as unprocessable. CMS reports that the “vast majority of provider claims” already are sent to Medicare in the 5010 format.