One-Third of Healthcare Providers Not Ready for 5010

Results of a HIMSS ICD-10/5010 Readiness Survey show that one-third of respondents reported not being prepared for 5010 compliance, which is the latest version of standards for the conversion of electronic health records, according to a HIMSS news release.

Standard 5010 is the latest version of healthcare transaction standards, focusing on the electronic exchange of administrative and financial information between healthcare providers and health plans for patient care services, including eligibility inquiries, service authorization and referrals, claims status requests, claims and remittance advice. The deadline for 5010 compliance is Jan. 1, 2012.

Key findings from the HIMSS survey include the following:

•    One-third of respondents reported they either don't have a plan for testing or won't test until the fourth quarter of this year.
•    66 percent of organizations plan to upgrade their systems.
•    Nearly a third plan to start testing with their trading partners, such as payors, in the first quarter, with another 33 percent planning to start testing in the second and third quarters.
•    Survey respondents cited a major obstacle to testing being lack of payor readiness (67 percent).

The updated 5010 transactions play a critical role in the future of ICD-10. The World Health Organization has mandated that all U.S. hospitals must be using the revised system of coding diagnoses and procedures by Oct. 1, 2013. ICD-10 uses more than 155,000 different codes, which is a significant expansion from the 17,000 ICD-9 codes. Healthcare providers must have fully implemented their 5010 plans by Jan. 2, 2012 to avoid delays in claim reimbursement.

Read the news release about ICD-10/5010.

Read other coverage about ICD-10.

- AAPC Column Outlines Objectives for ICD-10 Preparation 1,000 Days From Implementation Date

- AAPC Editorials Disagree on Effectiveness, Necessity of ICD-10

- CMS to Hold Teleconference on ICD-10, HIPAA Conversion 5010

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