Steps for a Successful 5010 Transition
An article regarding having a successful transition to 5010 was posted by Gateway EDI on June 28, 2011. They suggested several areas in which to prepare for the transition, one of which is talking to your trading partners and making sure you are all on the same page. Here is that portion of their article:
5010: Steps for a Successful Transition
Trading partners include all organizations involved in the end-to-end exchange of electronic health care data and transactions, such as payers, providers, clearinghouses, billing services, network service vendors and data transmission services. If you utilize a billing service, you need to contact them to determine their plan for 5010. If you send claims directly to any payers, you will need to contact them. To learn more about Gateway EDI’s transition plan, visit www.gatewayedi.com/5010.
To help you plan these conversations, questions to consider asking your trading partners include:
• Will you be upgrading your systems to accommodate 5010 transactions?
• When will each of the upgrades be completed?
• Will there be additional fees for these upgrades?
• Do the upgrades require changes to the way we work with you today?
• When can we test for 5010 to ensure the system works properly?
• Do you have connections to multiple trading partners and will you be testing with all of them?
• Do we need to use test data or live data during testing?
• What are your requirements for testing 5010 transactions?
To read the complete article, click here.
The following resources also offer assistance regarding the 5010 transition:
•
CMS Side-by-Side Comparison Documents for the 5010
www.cms.gov/electronicbillingeditrans/18_5010d0.asp
•
Washington Publishing Company – purchase the 5010 Implementation
Guides
http://www.wpc-edi.com/
•
The American Medical Association (AMA) – 7 Steps Practices Can Take
Now to Prepare for 5010
http://www.ama-assn.org/ama1/pub/upload/mm/399/5010-seven-steps.pdf