5010 Update Kevin Rogers SCDHHS Project Management Office November 17,2011
Project Status • On schedule for 1/1/2012 implementation • External testing began 10/19/2011 • New translator being installed at Clemson • Minimal compliance approach • Same Medicaid EDI editing rules for 4010 apply to 5010 2
Status of External Testing 3
837I Trading Partners Passed • HEALTHPORT/EMEDIX • GATEWAY EDI • MCKESSON • PER-SE TECHNOLOGIES • NDC HEALTH • THE SSI GROUP INC • ANDERSON AREA MEDICAL CENTER 01 • FASTRACK HEALTHCARE SYSTEMS • QUADAX • HCA PATIENT ACCT SVCS • HEALTHCARE BUSINESS SERVICES • LOWCOUNTRY BILLING • REIMBURSEMENT TECHNOLOGIES • NOVANT HEALTH 4
Important Dates • 11/11/11 – No new trading partners for 4010 • 12/29/11 – Last day to send 4010 transactions. Cutoff is 6:00pm • 1/1/12 – First day to send 5010 transactions • 1/6/12 – Last 4010 835 • 1/13/12 – First 5010 835 5
Follow Up • TPs should contact SCDHHS EDI Helpdesk for assistance and information about the process • TPs not tested and approved in MMIS submitter tables for 5010 will have their transactions rejected effective 1/1/12 • All trading partners should be contacting the EDI Helpdesk to establish testing and pass compliance before 1/1/12 • EDI Helpdesk will begin conducting focused outreach (by phone and email) to TPs that have not tested with us. Detailed reports will be created beginning 11/21/11. • If there is a possibility of increase in paper claim billing, please let us know as soon as possible 6
Reference Information • EDI Support: – Phone: 1-888-289-0709 – Email: edig.ops-mcaid@palmettogba.com • SCDHHS Website: – http://www2.scdhhs.gov/resource/hipaa-5010- project-status 7
Thank You! QUESTIONS??? 8
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