New NUCC CMS 1500 Format mandatory for 10/1/13

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sp655
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New NUCC CMS 1500 Format mandatory for 10/1/13

Post by sp655 » Wed Apr 17, 2013 2:27 am

I received a notice today that NUCC is releasing a new CMS 1500 form that will be mandatory to use by 10/1/13 to accommodate ICD10, 5010 etc. Will Medisoft be doing a service pack or version change to accommodate this format change?

You can learn more about the 02/12 claim form on the NUCC’s website at http://www.nucc.org/index.php?option=co ... Itemid=137

This site has additional inks that lay out the changes on the paper format, but assuming there will have to be changes for electronic transmission format as well.

Thanks.

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Gavin Walker
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Re: New NUCC CMS 1500 Format mandatory for 10/1/13

Post by Gavin Walker » Wed Apr 17, 2013 8:45 am

That is the proposed timeline. It is not official until Medicare weighs in. I doubt McKesson will have anything to say about this until everything is finalized, but I will check.
Gavin Walker
Walker Tek Solutions, LLC
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sp655
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Re: New NUCC CMS 1500 Format mandatory for 10/1/13

Post by sp655 » Wed Apr 17, 2013 1:57 pm

I saw it was proposed, but didn't know how much weight that carried. Thanks for your followup if you find out anything.

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Gavin Walker
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Re: New NUCC CMS 1500 Format mandatory for 10/1/13

Post by Gavin Walker » Fri Apr 19, 2013 2:30 pm

Here is what I am told:

The 02/12 revised 1500 Claim Form is still under review for approval by OMB. Once approval is received, the NUCC will review its proposed transition timeline.

So...McKesson isn't going to anything about a claim form that might be changing and a transition timeline that is still up in the air.

sp655
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Re: New NUCC CMS 1500 Format mandatory for 10/1/13

Post by sp655 » Sat Apr 20, 2013 2:48 pm

Thank you Gavin. At least the owner of my company is now aware that it is a future possibility. Appreciate the followup.

sp655
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Re: New NUCC CMS 1500 Format mandatory for 10/1/13

Post by sp655 » Wed May 01, 2013 12:51 pm

Just saw this online: As of April 29, 2013: The new CMS-1500 form is STILL PENDING FINAL APPROVAL FROM OMB (Office of Management Budget) at CMS.

sp655
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Re: New NUCC CMS 1500 Format mandatory for 10/1/13

Post by sp655 » Mon Oct 21, 2013 11:28 am

Gavin, it appears this new 1500 format date is final. Have you been given any information on this yet ?

January 1, 2014 – EFT and ERA (835) Operating Rules Compliance date
January 6, 2014 – Payers begin processing paper claims submitted on the revised 1500 Claim Form (version 02/12)
January 6 through March 31, 2014 – Dual use period during which payers continue to receive and process paper claims submitted on the old 1500 Claim Form (version 08/05).
April 1, 2014 – Payers receive and process paper claims submitted only on the revised 1500 Claim Form (version 02/12).

Thanks.

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Gavin Walker
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Re: New NUCC CMS 1500 Format mandatory for 10/1/13

Post by Gavin Walker » Mon Oct 21, 2013 1:28 pm

Yes, the new claim form will be supported by Medisoft v19. Medisoft v19 will be released sometime before the end of the year.

But, for those of you using Just Claims (or Just CMS-1500), that product was discontinued. You will need at least Medisoft Basic from here on.

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