HIPAA 4010 - 5010 Migration
The Centers for Medicare and Medicaid Services (CMS) has mandated that healthcare services organizations achieve HIPAA 5010 compliance by January 1, 2012. However, multiple intermediate milestones also have to be met and healthcare organizations face significant challenges on the path to compliance.
Healthcare organizations should put HIPAA 5010 migration initiatives in place soon, as delays may be costly and create process inefficiencies. Considerable planning and testing now with their Trading Partners in prep of 1/1/2012.is required to successfully address all the technical and business impacts of this conversion. Systems, processes, and procedures need to be assessed to determine what remediation is required to smoothly move from 4010 to 5010.
Virtusa brings a high level of domain expertise along with extensive technical capabilities and is able to combine the two to provide robust solutions for HIPAA 5010 compliance. Virtusa’s HIPAA 5010 migration framework allows healthcare providers to overcome the limitations of version 4010 and reduce the cost of providing healthcare services by:
- Improving the scope and degree of automation of claims processing
- Increasing the accuracy and efficiency of EDI transactions between trading partners
- Achieving high degree of standardization within transactions
- Allowing faster transaction processing capabilities
The smarter healthcare organizations realize that the improved data capture and transaction management capabilities of HIPAA 5010 will enable them to develop competitive advantage from improved patient care, diagnostic capabilities, accurate claims processing and electronic health records.






