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Gateway EDI can help you understand what the change to 5010 means for your practice.  Visit our 5010 web page at www.gatewayedi.com/5010 often for updated information you need in order to be ready by January 1, 2012.

Who is required to make changes for 5010?

All covered entities are included in the 5010 industry-wide mandate.  The definition for a covered entity is a health plan, a health care clearinghouse, or a health care provider who transmits any health information in electronic form in connection with a HIPAA transaction.�

Why is the electronic format for health care transactions changing again?

The current format, already eight years old, is unable to meet some important new developments in health care such as supporting the ICD-10 code set and pay for performance.  Other changes in the 5010 version will streamline reimbursements.  Most of the changes are technical and geared toward improved standardization and uniformity.  Many of these can be handled by your vendor and clearinghouse. However, it is important that you understand your own responsibilities in order to become 5010 compliant.

What do I need to do to ensure that my practice is ready for the changes?

To begin, visit Gateway EDI’s 5010 page, at www.gatewayedi.com/5010, to understand the requirements and develop your own readiness plan. Here you will find a selection of the most relevant articles and links to other resources. Below is a sample of the helpful information you can find:

• The Gateway EDI timeline for 5010 readiness
• FAQ section that answers many of the questions we hear
• Preparing for Electronic Data Interchange (EDI) Standards: The Transition from 5010 and D.0 Fact Sheet http://www.cms.gov/Versions5010andD0/Downloads/w5010TransitionFctSht.pdf
• Provider Action Checklist for a Smooth Transition http://www.cms.gov/Versions5010andD0/Downloads/w5010PvdrActionChklst.pdf
• Easy to understand briefings on the provider requirements for 5010 readiness

Check in frequently at www.gatewayedi.com/5010 for updated information. Or email your questions to our industry experts at IndustryInfo@gatewayedi.com.

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Dorothy Hernandez is the recipient of the Continuing Education Award to pursue continuing education through attendance at a health care conference.  She works for Scottsdale Infectious Disease in Scottsdale, AZ.  Dorothy has used her award to attend the 2010 e-MDs User Group Conference in Austin, TX.

Crystal Altenbach received the Continuing Education Award to seek certification or fellowship in a health care industry program.  She works for Norterra Family Medicine in Phoenix, AZ and is seeking a Certified Professional Coder (CPC) certification through the American Academy of Professional Coders.

Michelle Peters received our final Continuing Education Award and is employed at Falling Timbers Internal Medicine in Maumee, OH.  She is attending Owens Community College where she is pursuing her degree in Health Business Management.

Gateway EDI knows that education is the cornerstone of determining the success of an individual throughout their career.  For this reason Gateway EDI takes great pride in sponsoring these scholarship opportunities and congratulates all applicants in their educational and professional pursuits.

Please watch for next year’s scholarship details to be released in January, 2011.