The Office of E-Health Standards and Services (OESS) announced on November 17, 2011, that although the 5010/D.0 compliance date of January 1, 2012 will not change, HIPAA enforcement of compliance with the standards will be deferred until March 31, 2012. The 5010 versions of the institutional and professional claim implementation guides mandate that when claims use non-specific procedure codes a corresponding description of the service is now required.
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August 12, 2026
A patient comes in, you deliver the service, and a few weeks later the claim bounces back: coverage wasn't active on the date of service. Nobody was careless — the plan had simply changed, and nobo…
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Your providers are good. Your equipment is good. Your front desk works hard. And still, every year, a six-figure slice of your revenue disappears into denials, delays, and write-offs you never quit…
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The law designed to protect patients created a new arbitration economy. That same system is now drawing sustained attention from federal regulators, payers, and Congress — and the stakes for provid…
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