In light of concerns about the transition to Version 5010, the Centers for Medicare and Medicaid Services (CMS) has issued guidance to help physical therapists and other providers troubleshoot some of the difficulties they may experience with claims submissions. The guidance includes information on how to handle claims that failed edits during the delivery process and what providers can do if they have difficulty receiving information from clearinghouses and/or billing services.
Although CMS delayed enforcement of Version 5010 transaction standards used for electronic health care claims until March 31, the official deadline to adopt the standards was January 1.
APTA is aware that some physical therapists are experiencing cash flow issues related to 5010 implementation. The association will launch a new Web resource shortly to help members navigate the issues surrounding the move to the new standards.