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Beyond Version 5010: ICD-10 Compliance

icd-10-mobile-app

As of January 1, 2012, health care providers, payers, software vendor (e.g., Therap), and clearinghouses/third-party billers – must conduct all electronic HIPAA transactions using Version 5010 standards, according to CMS requirements.

Therap’s electronic billing system is ready to handle 5010 transactions. Therap is, and will continue to provide necessary support and training to all our users.

Looking onward the next task is to move on to ICD-10 codes for medical diagnosis and inpatient procedures by October 2013. Between then and now, a number of milestones will have to be achieved by everyone involved. A detailed timelines of activities on the path to Version 5010 and ICD-10 compliance, is provided by CMS here. CMS is also offering a desktop and mobile app for this purpose that you should definitely check out.

Release Notes, User Guides and Preview of Therap 2012.0

Therap is buzzing at the moment with excitement and action as we prepare for the coming year and the release of Therap version 2012.0.

Resources

To learn more of what to expect this January, here are a few resources, including a Beta Testing site, where you can try out the modules and features, and send us feedback:

Webinars

Justin had held two webinars where he went through the upcoming features. You could view a recorded webinar from the 15th if you’ve missed them:

(View on YouTube)

As the number of agencies using Therap expand, we are learning more and more about developmental disabilities services industry and improving our system in order to provide an efficient documentation solution, that complies with industry standards such as CCHIT and HIPAA. We hope you find the upgrades helpful and look forward to your feedback.

Version 5010 approved in Kansas, Florida and New York

ASC X12 version 5010 is the latest HIPAA transaction standard. All developmental disabilities support providers  and other covered entities will have to transition to 5010 by January 1, 2012.

KMAP’s (Kansas Medical Assistance Program) EDI team has approved Therap’s ASC X12 version 5010 compliant software for claim production as of November 7, 2011. In addition to producing claims, users are able to track claim status and view remittance reports.

Therap’s comprehensive electronic billing solution handles the entire billing process for providers, covering service authorizations, billing/attendance records management, claim submission and status tracking. The electronic billing system supports the Kansas Day Habilitation per diem unit calculation and the unique Targeted Case Management unit calculation methods utilized by KMAP.

Therap’s ASC X12 version 5010 electronic billing has also been approved by EDS, MMIS vendor in Florida and Computer Sciences Corporation (CSC) – Trading Partner services provider in New York.

With Florida APD moving into quarterly service authorizations with the iBudget system, Therap’s electronic billing will be helpful for HCBS/DD waiver service providers in the state to maximize utilization.

In New York, the 5010 compliant billing system will be useful for Day Hab, Res Hab, IRA, Pre Vocational and other ID/DD service settings by allowing them to submit and track Medicaid claims. Therap also supports the Hab Checklist for users in New York.

In the coming weeks, Therap’s 5010 electronic billing system will be ready for the States of Colorado, Wyoming, Delaware and Alaska.

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The views expressed in this blog are those of the author and not necessarily those of Therap Services.
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