American College of Physicians: Internal Medicine — Doctors for Adults ®

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Complete version 5010 before starting ICD-10

From the March ACP Internist, copyright 2011 by the American College of Physicians

Before you can transition to ICD-10, you must first convert to the new electronic standard format known as version 5010. On Jan. 1, 2012, all covered entities must use the new version 5010.

Think back to 2005 when you were implementing the new transaction code sets imposed by the Health Insurance Portability and Accountability Act (HIPAA). In hindsight, that wasn’t so bad, was it? Back then, the standard format required was American National Standards Institute (ANSI) X12N version 4010. (Currently, the standard you are using is version 4010A1.) But this standard cannot accommodate, among other things, the additional digits of ICD-10.

For now, practices need to work with the vendors, clearinghouses, and payers of their practice management systems and electronic health record to begin testing. End-to-end testing must be completed successfully by Dec. 31, 2011.

For a checklist of how to get ready, go online.

To understand all the reasons for the standard format upgrade, go online.

For more information on how to get ready for version 5010 (and ultimately ICD-10), go online.

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