FACED WITH THE FACT that many payers were not ready to implement the 5010 standard under the Health Insurance Portability and Affordability Act (HIPAA), on March 15, the federal Centers for Medicare & Medicaid Services (CMS) announced a second delay in enforcement of the standard. The extension is until June 30.
As of March 15, CMS
CEO SUMMARY: Even after testing compliance with HIPAA Form 5010 for more than a year, one out of four payers is not ready to pay claims using this new form. Claims payment experts are telling clinical labs to expect some shortfall of revenue in coming weeks as payers struggle to program their systems to cleanly