5010 Provider Resources

Providers – Questions to ask your Business Partners

Your PMS Vendor - Providers should consider the requirements for implementing both the 5010 ANSI transactions and the ICD-10 code sets. Please prepare for the implementation of these standards and contact your billing vendor or software vendor to inquire about their plans to be ready for these standards. Here are some helpful questions you can ask to make sure your vendors are ready:

Can your product create and support 5010 transactions?
Is an upgrade required?
Are there fees attached to new software, hardware, upgrades, training or support?
Do you have new user guides available that will assist us in learning how to implement the new system?
What is your strategy for implementing your existing customers to the latest version?
When can I be scheduled for implementation and the timeline for completion?

Sample Provider Checklist

Task	Date Started	Date Completed	Comments
Get Organized
Become familiar with new 5010 requirements.
Schedule meetings to: Identify key personnel to be involved in the project plan Identify workflow changes (if any)
Begin preliminary budget for implementation costs associate to the 5010 upgrade. (e.g. software, hardware, training, support)
Have preliminary discussions with your vendors and clearinghouses to get the ball rolling. (Ask those questions!)

Helpful Links

WEDI @ http://wedi.org		American Medical Association (AMA) @ http://www.ama-assn.org

Washington Publishing Company (WPC) @ http://www.wpc-edi.com		Centers for Medicaid and Medicare Services (CMS) @ http://www.cms.gov/default.asp