XIFIN Blog 4010

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11 Real-World 5010 Issues and How to Resolve Them

XIFIN experts, Lâle White and Matt Warner were asked to present some key strategies for submitting and getting paid on clean 5010 claims as well as some real-life examples of 5010 challenges and their solutions. As a service to the lab industry and providers everywhere, we are posting a series of real-world use cases for different 5010 challenges and how to resolve them.
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Recorded Webinar - What We Learned in Our First Million 5010 Production Claims

The 5010 conversion is that it's so broad and complex that there are bound to be issues. The key to success is your ability to identify, investigate and resolve those issues and ensure you have the resources available to do those things.
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3 Red Flags Behind the 5010 Enforcement Delay. More than a Format Change; Guidance Required on Comments and Edits

It is not surprising that CMS had to delay enforcement of 5010 compliance in light of the fact that even the small payor community, including a number of MACs and Medicaids, were unable to test and implement 5010 files in production timely; let alone the thousands of providers primarily relying on unprepared clearinghouses and software vendors. A number of payors had announced delays in advance of CMS that they would not meet the deadline, such as Medi-Cal of California which had announced it would not be ready until 2013.

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