3 Easy Steps to ANSI Compliance

1)  Upgrade to Medisoft V17 and purchase a Revenue Management Subscription from CompuHealth - Call CompuHealth NW for an estimate, and ask about our end of year promotions.

2)  Update your Medisoft data for ANSI 5010 requirements:

o   All users on any version of Medisoft should update Addresses and 9 digit Zip codes - Click here for more information.

o   Regence Payers will require a taxonomy code on claims as of January 1st 2012.  Click here for Instructions on added taxonomy codes in V17.

§  For more information on Regence Taxonomy requirements Click here (link to the Regence WA -The Connection Online-  Taxonomy Codes Pg 16) This page is from the Oct issue of 'The Connection Online' a monthly newsletter from Regence.

§  For the entire Regence newsletter click here.

o   For Medisoft V17 users sending to Availity please change your Reporting Preference with Availity at any time. Click here for detailed instructions.

3)  Download and install the ANSI 5010 Connection click here.

Only Medisoft V17 is ANSI 5010 capable. We recommend you are on the latest service pack. Do not install the ANSI 5010 connection with older versions of Medisoft as it will not work. Only use this connection if you are sending to the Availity Clearinghouse.

ANSI 5010 information

• The implementation date for ANSI 5010 is January 1st, 2012!  Click here for our previous summary.

• As of that date, Medicare and many other insurances will no longer accept the current ANSI 4010 standard.

• All claims submitted after January 1, 2012 must be received by the payer in the ANSI 5010 standard.  As the deadline for the implementation of the ANSI 5010 standard quickly approaches, we at CompuHealth are keeping you, our clients, up to date on the steps to take to ensure you are compliant with the new 5010 standard.

• Medisoft V17 is the only version that creates an ANSI 5010 file using Revenue Management. We offer an annual subscription to connect Medisoft V17 Revenue Management to the Availity Clearinghouse. Your subscription includes ANSI 4010 connection and the ANSI 5010 connection plus ANSI 5010 updates as needed and ANSI 5010 support during the transition. With your subscription you get a monthly newsletter educating on the steps you need to take to implement ANSI 5010 along with  ' how to documents’ and helpful tips & tricks for Revenue Management users.

• If you are not currently using Medisoft V17 you still need to make changes to your Medisoft data required by a clearinghouse or the payers who receive your claims on paper CMS forms.

• You may have recently read that CMS  will not start enforcing the 5010 standard until March of 2012. It is important to note that the compliance date has not changed. This does NOT mean insurances have moved the implementation date. Most insurances that are ready for 5010 - Medicare, Regence and Premera among them - will start requiring 5010 transaction on January 1, 2012. The enforcement change by CMS has little effect on most practices. So don't delay your ANSI 5010 implementation plans!

Click here to go to "ANSI 5010 Availity page".