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5010 is Here!
There is no denying that 5010 has arrived. While we are not seeing massive rejections or delays, we are experiencing the expected and planned for hiccups that are occuring. The industry as a whole is realizing the magnitude in which 5010 has affected claims processing. At MBSS we are seeing the largest delays with the Medicare carriers. Here are some of the common issues we have been seeing:
1. File Acknowledgement Reports: 5010 changes the way claims are formatted, which in turn changes the format of the reports you are receiving from the payers. Payers are implementing the reports in different ways, resulting in more rejections. We are working closely with our clearinghouses to resolve these issues promptly. Please ensure that you are using our ticketing system to report any errors that you may be receiving.
2. Payer Transitions to 5010: Not all payers have transitioned to 5010 formats. Inevitably when they do, the rejections do increase. In addition, we are seeing delays in the processing of claims as the payers are implementing the new formats.
3. Interpretation of Standards: Since the industry is still in the beginning stages of the transition, we are still feeling the affects.
As the kinks and bugs are worked out between the providers, clearinghouses and payers, we will continue to see these types of delays for the next couple of months. It is very similair to our transition to the NPI numbers, it was painful in the beginning but the industry regained it's footing within several months.
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