Are you up to the new ANSI 5010 standards?

All entities that are covered under the HIPAA mandates are required to update to the new ANSI 5010 standards by the March 1, 2012 deadline.

For electronic data interchange (EDI) charge transactions, HIPAA required the use of the ANSI (American National Standards Institute) format specifications and technical content.

Currently, EDI transactions are required to be submitted in ANSI version 4010 formats and the ICD-9 diagnosis code set. The new rule mandates that all covered entities should begin migration and testing of EDI transactions in 2011 in order to be prepared for the March 1, 2012 deadline.

Who is required to use ANSI 5010? Health plans, health care clearinghouses, information trading partners, health information networks and health care providers who electronically transmit any HIPAA-standard transactions.

Why is this upgrade necessary? Part of the driving force in this new change is the adoption of the new ICD-10 diagnosis codes to be released. The new ANSI 5010 format is anticipated to become the EDI transaction format foundation for Healthcare now and in the future.

Call Sudaco today to speak with a representative about how we can help you stay proactive and compliant with the ever changing HIPPA mandates.