MDsuite is ANSI 5010 Compliant!

ANSI 5010 will begin in January 2012, and we are ahead of schedule in preparation.  We have completed Level 1 which included programming changes and internal testing.  We have started Level 2 which is testing with payers and clearinghouses.  We will keep you updated on our progress throughout the upcoming year as we get approvals.  If you have any ANSI 5010 questions, please contact us.

 

 

What does this mean for your practice?

**DSI recommends ALL clients make every effort to be ANSI 5010 compliant by January 1, 2012 or as soon as possible. It is possible that payors could choose to reject claims submitted in ANSI 4010 at any point after January 1, 2012.  Contact your payor for details regarding actions they will take against offices that continue to submit in ANSI 4010 after January 1, 2012.**

 

CompuMedic Clients:

You will need to upgrade to our latest software, MDsuite, in order to be compliant with ANSI 5010.  We will not be making changes to CompuMedic to accommodate these new standards.  Other changes will be coming in 2013 for ICD-10 that will not be possible in CompuMedic.  The time to upgrade is now before there is a delay in sending your claims! Contact sales@mdsuite.com to schedule a demo and get a quote.

 

 

***ANSI 5010 version available (6.1 build 160). Updates are available for clients on elligence/MDsuite. Contact Tech Support to schedule an update.***

elligence version 3.X Clients:

All ANSI 5010 changes have been made in our latest version, 6.1. Having a current software maintenance contract with DSI allows you to update to our latest version of elligence, now called MDsuite, for no additional fee.  

System requirements for version 6.1 have been updated and are different than version 3.X requirements.  A computer technician will be needed to review our current system requirements and ensure your hardware and software is up to date.  We have a process in place to help ensure the update goes smoothly, and you incur very minimal downtime, typically a couple of hours.  We even provide a free two hour training class to get your office comfortable with the new design and changes in MDsuite. The time to update is now before there is a delay in sending your claims! Contact DSI to get started today!

 

MDsuite Clients:

All ANSI 5010 changes have been made in our latest version, 6.1.  Read the updates below to see the latest timeline for updating to this version.

ANSI 5010 12/23/2011

Detailed instructions for ANSI 5010 adjustments can be accessed in MDsuite's Help File. Below is a brief list of the necessary changes.

  1. Zip Code needs to be 9 digits for Locations.
  2. Special setup needed for lockboxes and PO Boxes currently used as the "Pay To" entity, if applicable.
  3. Switch the needed insurances' file specification from ANSI 4010 to ANSI 5010.

Click the links below for details on each payer.

 

The destinations below do not require testing. Please follow the instructions in the MDsuite Help File to make ANSI 5010 settings changes. Once the 5010 settings are in place, you can begin submitting in 5010.

  • Emdeon
  • Office Ally
  • Gateway
  • McKesson
  • Availity

Check back daily for information on other payers.

 

 

ANSI 5010 Status 12/1/2011

 

A select group of offices are starting to be updated to MDsuite's ANSI 5010 ready version.  Over the next week, they will be updated to this version and begin submitting in 5010. We will be quick to work with these offices and resolve any issues that may come up. Assuming this process goes smoothly, as we expect it to, we will then begin accepting calls to schedule updates for all clients. We are focused on offices submitting professional claims first. Ambulance and institutional billing via ANSI 5010 is still being tested. We will release another version once testing is completed. We will have more information over the next couple of weeks regarding our progress and status.

CMS Delays ANSI 5010 Enforcement to March 31, 2012

Released Nov. 17, 2011: "Centers for Medicare & Medicaid Services’ Office of E-Health Standards and Services (OESS) announced that it would not initiate enforcement action on offices submitting in ANSI 4010 until March 31, 2012."

WHAT DOES THIS MEAN?
Based on the released information, it seems CMS is indicating that it will allow additional time for offices making a “good faith effort” to become compliant by March 31, 2012. Due to this relaxed deadline, CompuMedic offices can purchase MDsuite by December 31st, 2011 and upgrade to be ANSI 5010 compliant. For offices already on MDsuite, this means additional time to become compliant with ANSI 5010. DSI does not have infomation regarding the process of reporting "good faith effort" at this time. DSI also does not have control over whether a payor decideds to accept or rejct claims in the ANSI 4010 format after January 1, 2012. 

**DSI recommends ALL clients make every effort to be ANSI 5010 compliant by January 1, 2012 or as soon as possible. It is possible that payors could choose to reject claims submitted in ANSI 4010 at any point after January 1, 2012.  Contact your payor for details regarding actions they will take against offices that continue to submit in ANSI 4010 after January 1, 2012.**

 


STAY INFORMED
CMS FAQ: click here
CMS PRESS RELEASE: click here

 

 

ANSI 5010 Advisory 9/21/2011

 

Key Points

  • Data Strategies’ products include MDsuite, elligence, and CompuMedic
  • These products span 30+ years
  • During that time, DSI has had to adapt its software to accommodate major changes in the billing standard - ANSI 3051, 4010, 4010A1 to name a few
  • The latest set of billing changes involves a new standard - ANSI 5010
  • This new standard takes effect January 1, 2012
  • Due to better technologies and standards, DSI anticipates handling these latest requirements faster and more efficiently than those in the past.
  • MDsuite has over 170 destinations to test for ANSI 5010.

Destinations

In MDsuite a “destination” is a place where claims are sent and remittance files and reports are retrieved.  A destination may be a clearinghouse or a payor, i.e. an insurance company.  Each destination can have different rules and regulations for testing with ANSI 5010.  Some can grant blanket approvals for the vendor, so the individual provider does not have to test.  Others require each provider to test plus vendor testing.  

Phase 2 Testing

As the ANSI 5010 deadline of January 1, 2012 quickly approaches, we are ramping up our testing processes and retrofitting MDsuite for Phase 2 testing.  Phase 2 testing is testing directly with the clearinghouses and payors with more demanding criterion. 

MDsuite 5010 Release

A new version of MDsuite will be required which will be equipped to handle the new 5010 reporting as well as secondary payor processing.  Currently, MDsuite 6.1 can perform some ANSI 5010 functionality but officially we do not suggest any testing at this time without the future MDsuite 6.x ANSI 5010 version.  

 

How to test

Ideally, the following work flow is our projected goal for MDsuite clients going to ANSI 5010:

 

1. Additional Payor Enrollment (may not be required for some destinations)

2. Update to the MDsuite 6.x ANSI 5010 build

3. Make a few setting changes

4. Submit a test claim file (may not be required for some destinations)

5. Get confirmation from payor/clearinghouse (may not be required for some destinations)

6. Start submitting production claim files in 5010

 

Our ANSI team may contact you to assist in these testing requirements.  Your compliance with this is greatly appreciated.  

More Information?

If you have any additional questions please call Technical Support at (800) 514-3131 Option 2, then Option 2 again.

Periodically, we will update our website (http://www.mdsuite.com/5010) to keep you up-to-date on our progress and what you may be required to do.