Customer Support Blog

 Posts Tagged ‘5010’

By October 1, 2013, ICD 10 code sets will replace the existing ICD 9 code sets that are now used to report diagnoses.

The transition to ICD 10 is closely associated with the upgrading of ASC X12 version 5010 transaction standard for electronic healthcare claims, which is to replace by version 4010/4010A by January 1, 2012. The ASC X12 5010 will be able to accommodate the ICD 10 code structure.

After the recent 9.2 release, the Service Description/Code section of Therap (used in electronic billing) now accepts ICD 10 primary diagnosis codes, as well as ICD 9.

Its time for another release, which will take us to version 9.2 of Therap Applications. In this release there will be usability enhancements as well as new features like the support for Pre-Vocational Services in Habilitation Checklists for users from New York and support for the new HIPAA standard 5010 that will affect how agencies do billing. To learn more about the new standard, you can refer to this blog post on ASC X12 version 5010 compliance.

Please read through the Release Notes to learn more about all the updates.

Conferences:
Our conferences are great opportunities to learn about the newer features and the updates first-hand. We are holding two in the coming month of December, one at Florida (Dec 6-7) and California (Dec 7-8).

The big one, is also near, the National Conference for Provider Administrators between Febraury 7-9, 2012. This is a chance to meet the majority of the Therap team, including all the support staff and a few of the chief developers, as well as other folks from the ID/DD industry. Apart from training sessions, there will be lots of discussions, feedback sessions, brainstorming and presentations from users. Learn more about the sessions, the schedule, and register online from this page.

We’ve also added an extra day for Government Administrators, which is February 6, where we’ll describe and discuss the part of the System for State and County officials in charge of administering and supervising ID/DD services in their regions.

ASC X12 5010 is the latest version of HIPAA transaction standard. All healthcare providers (including developmental disabilities support providers), clearing houses and other covered entities will have to be fully 5010 compliant by January 1, 2012.

The ASC X12 version 5010 transactions is an upgrade over ASC X12 version 4010A1. This will facilitate exchange of financial and administrative information such as eligibility inquiries, service authorizations, referrals, claims status requests, claims and remittance advice (claims payment).

According to this article on HIMSS’ financial systems newsletter ASC X12 5010 meets “many new needs for current business requirements, such as better POA reporting on claims, improved use of NPI numbers and a more functional eligibility transaction. In HIPAA version 5010, the authorization and referral transactions are significantly improved”.

Therap’s billing support will be 5010 compliant by January 1, 2012. So far, the development is going according to schedule; providers will be able to use 5010 compliant billing system (and the necessary support materials) right from the January 1 deadline. The 4010 version of ACS X12 may remain available for providers who will not yet be ready to make the transition. Looking forward to interesting times ahead!