Effective with dates of service on or after Sept. 1, 2012, Highmark commercial and Medicare Advantage members must be registered at their initial visit to receive physical therapy, occupational therapy and manipulation services. Read about it here: https://www.highmark.com/health/pdfs/pubs/sb-bcbs-physical-med-program-06142012.pdf
The deadline for the Version 5010 upgrade was January 1, 2012, and the enforcement discretion period for all HIPAA-covered entities to complete their upgrade to the Version 5010 electronic standards ends on June 30, 2012. The Version 5010 transaction standards have different requirements than those of Version 4010 and 4010A. There are a few things [...]
The Centers for Medicare & Medicaid Services (CMS) announced Thursday the extension of the HIPAA 5010 deadline – enforcement will begin March 31, 2012 instead of the January 1, 2012. This gives HIPAA covered entities (any healthcare organization that processes, stores or transfers any type of patient health information, PHI) an extra three months to prepare [...]
Complimentary ICD Webinar Scheduled for Nov. 17, 2011 ICD-10 changes EVERYTHING about medical coding. If you haven't already started to upgrade, you're already late. The federal mandate requires conversion from ICD-9 to ICD-10 on Oct. 1, 2013. Even though that’s well over a year away, the Centers for Medicare & Medicaid suggest you should have [...]
Do you conduct HIPAA transactions electronically? Have you contacted your software vendors regarding HIPAA Version 5010? Do you know what you have to do to be fully compliant with HIPAA Version 5010? HIPAA version 5010 is a group of standards that are used when submitting claim information and other healthcare information electronically. HIPAA requires the [...]
In recent announcements and materials, the Centers for Medicare & Medicaid Services (CMS) incorrectly included chiropractors in the list of physician and practitioner types that may order and refer items or services to Medicare beneficiaries. In accordance with Section 1877(a)(1) and (5)(A), and Section 1861(r)(5) of the Social Security Act, and 42 CFR 410.21(b)(1) [...]