The Centers for Medicare and Medicaid Services (CMS) is offering health care providers a 90-day grace period for HIPAA version 5010 compliance.
Officially dubbed a “period of enforcement discretion,” the grace period means that CMS won’t penalize noncompliance with the new HIPAA version 5010 electronic submission transaction standards until March 31, 2012.
The compliance deadline remains Jan. 1, 2012 — 45 days from today. As of Jan. 1, transactions submitted using the current standard, HIPAA version 4010, will still be rejected — they just won’t be subject to penalty. According to CMS, any HIPAA covered entity subject to a rejected transaction “must produce evidence of either compliance or a good faith effort to become compliant with the new HIPAA standards during the 90-day period.”
Use of HIPAA version 5010 is seen as a precursor to ICD-10 implementation, which will occur in the United States on Oct. 1, 2013. A new transaction standard is necessary because HIPAA version 4010 does not support ICD-10 codes.