HIPAA Simplified Update for Channel Partners

Anatomy of a patient-friendly bill

We are pleased to announce that Emdeon has received notification that we have met the requirements of the EHNAC 5010 Readiness Assessment Program. Emdeon received a score of 100%, which further solidifies Emdeon’s commitment to ensure compliance with HIPAA 5010.

Emdeon’s commitment is to guide our channel partners successfully through the migration to the X12 5010 and NCPDP D.0 versions of the HIPAA transaction standards. We have updated our gap analysis documents to include the recent 5010 Errata changes and we have enhanced our 5010 systems and products to support the modified HIPAA transactions. The Errata versions of the gap analysis documents are available at the HIPAA simplified website under downloads.

Testing with Emdeon:
Emdeon began testing for the original 5010 Final Rule version in the 3rd quarter of 2010, ahead of the January 1, 2010 HHS guidance date. During the June 2010 X12 meeting several Errata revisions were approved and these Errata versions were adopted by HHS as the 5010 standard in October 2010. However, as HHS did not move out the January 1, 2012 5010 compliance date, this late release of the Errata versions further constricts the already narrow testing and conversion window. As you can see in the list below, Emdeon has initiated submitter and payer beta testing on the Errata versions, in advance of the CMS April 1, 2011 date to begin Medicare Errata testing.
ERRATA Beta Testing in process:

• 837 Professional claims
• 837 Institutional claims
• 837 Dental claims
• 835 ERAs
• 270/271 Eligibility verification

Emdeon is also testing the Final Rule version with submitters and payers for the HIPAA X12 transactions that were not included in the Errata revisions:

• 276/277 Claim Status
• 278 Referral/Authorization

Emdeon Pharmacy Update
An NCPDP D.0 gap analysis is also available at the HIPAA simplified website under downloads. To help our clients with HIPAA readiness, Emdeon is continuously updating gap analysis documentation. Like all our other documentation, this gap analysis is available to download for free. Visitors only need to provide their email addresses and they will be able to download documents from our vast library. Emdeon is also currently testing in NCPDP D.O.

Take advantage of Emdeon’s HIPAA simplified website that not only communicates important 5010 updates but also keeps you aware of any industry news that will impact you and your providers. To date, the HIPAA simplified website has received 30,000 visits and over 20,000 downloads of resource materials.

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