The Centers for Medicare & Medicaid Services (CMS) Office of E-Health Standards and Services announced it would not initiate enforcement action against entities who had not adopted the new electronic transaction standards and codes until March 31, 2012. What this means for physicians is that while the implementation date of January 1, 2012, is still in effect, contractors will not reject claims submitted in the 4010 electronic formats until March 31, 2012.
The California Medical Association encourages all physicians to continue working with their vendors, clearing houses and billing services to transition to the 5010 format as soon as possible. Offices that transmit directly must ensure their software is updated.
Contact: CMA Reimbursement Helpline, (888) 401-5911 or mkelly@cmanet.org.