How HIPAA 5010 Affects You

What you really need to know about HIPAA 5010 Implementation.

For the most part, transaction code set 5010, or as it is officially called: Accredited Standards Committee X12 005010 Technical Report Type 3s, is something that your EHR/PM vendor needs to deal with, though there is a coding side to this that must be addressed.

You should start, now, asking your vendor what their implementation plans are.  To really sound like you are up on this, you might say:

{EHR Vendor} what’s the time line for HIPAA 5010 Implementation?

then, follow up with:

That does include ICD-10, correct?

Finally, as you should always do when talking to your EHR/PM vendor, ask this:

Will this upgrade require any additional hardware or upgrade to my hardware?

I would also be smart to contact your clearinghouse to see if they have any requirements of you for proper implementation.

On the coding side, there will be a need for training.

This new rule create over 40 new Service Type Codes, and you need to ensure your staff understands how to properly code with the new options.

Of note – HIPAA 5010 will greatly increase the automated reporting of quality care & performance measures – you decide whether this is good or bad.