Today I’m going to speak to you about a mandatory format conversion for your electronic billing that you must do by January 2012 or you will not be paid!  If 2012 sounds like a long way away, you should know that testing for the 5010 conversion starts now — in April 2011!

Specifically this format conversion is called 5010 and you might’ve heard of it as a HIPAA 5010 Format Conversion or “mandatory claims reformatting.”  Lots of chiropractors have been emailing me for advice on what to do, where to go for information and what exactly is required for the conversion.

First — a reality check.  Do NOT be fooled by the term HIPAA!  One reason I told you up front that you will not be paid and I didn’t mention HIPAA is that I know chiropractors by in large ignore lots of things related to HIPAA. They think, “Well in I’ve never seen a HIPAA policeman” or “this is just some low priority compliance items I can handle later.” This is entirely different!

This 5010 conversion is mandatory if you do ANY sort of electronic claims transmission or electronic billing. Read More