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Medicare Fee-For-Service (FFS) Systems

CMS' Medicare FFS program is underway with implementation activities to convert from Health Insurance Portability and Accountability Act (HIPAA) Accredited Standards Committee (ASC) X12 version 4010A1 to ASC X12 version 5010 and National Council for Prescription Drug Programs (NCPDP) version 5.1 to NCPDP version D.0.

The Medicare FFS program is engaged with both its internal and external partners to ensure compliance with the timelines provided in the 5010/D.0 final regulation.  The Office of Information Services (OIS), Business Applications and Management Group (BAMG), Division of Medicare Billing Procedures (DMBP) is coordinating 5010/D.0 implementation across CMS and its partners.

HHS permits dual use of existing standards (4010A1 and 5.1) and the new standards (5010 and D.0) from the March 17, 2009, effective date until the January 1, 2012 compliance date to facilitate testing subject to trading partner agreement.

An Overview of The CMS Medicare FFS schedule is:

Level I April 1, 2010 through December 31, 2010

Level II January 1, 2011 through December 31, 2011

Fully compliant on January 1, 2012

For further information on CMS' Medicare FFS 5010/D.0 Implementation activities click on the link in the "Related Links Inside CMS" section below.

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Related Links Inside CMS

Medicare FFS Systems Preparation for Versions 5010 and D.0
Related Links Outside CMSExternal Linking Policy

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Page Last Modified: 10/02/2009 1:27:56 PM
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