Doctors’ Time Running Out To Meet HIPAA 5010 Requirements

Doctors’ Time Running Out To Meet HIPAA 5010 Requirements

Effective January 1, 2012 there will be a new HIPAA 5010 version that will be a required for doctors to use for electronic filing.  If physicians don’t use version 5010 for all HIPAA electronic transactions by that date, their claims will be rejected and they won’t be paid.  Doctors are feeling the pressure to get their systems ready for this change.  Many physican practices have not embraced the electronic age as well as other businesses have and are now behind the eight ball, scrambling to meet these new standards.

Medcost.com reported, “The purpose of 5010 is to facilitate the country’s ongoing goal of transitioning to an electronic health care environment by updating the current standards for electronic health care and pharmacy transactions. The updated 5010 versions replace the current versions of the standards and will promote greater use of electronic transactions. This change has been driven by the United States Department of Health and Human Services (HHS).”

There are some helpful resources to show doctors how to prepare for this transition.  GetReady5010 offers free webinars.  The AMA also has some excellent resources. Despite all of these free offerings, many physicians are not prepared for this change. American Med News reported, “Many physicians have not even begun to see if they are compliant with what are known as HIPAA Version 5010 standards. According to a survey released in March by the Medical Group Management Assn., 56% of practices have not scheduled any internal testing for 5010, and 61% have not scheduled any testing with their major health plans. The survey covered 349 practices with 13,290 doctors.”

What’s new in the HIPAA 5010 version? Some of the changes include:

  • Physicians must submit a nine-digit, rather than a five-digit, ZIP code
  • Physicians may distinguish between principal diagnosis, admitting diagnosis, external cause of injury and patient reason for visit codes
  • 5010 set will allow for the inclusion of ICD-10 codes

Nextgen.com listed the following frequently asked questions relate to HIPAA 5010 to help understand requirements.  Click on the links for answers to each of the questions.

  1. What is HIPAA 5010?
  2. Who will need to upgrade to HIPAA 5010?
  3. Why must I upgrade to HIPAA 5010?
  4. How is HIPAA 5010 different from HIPAA 4010?
  5. What are the key dates for HIPAA 5010 and what is the deadline for HIPAA 5010 implementation?
  6. What happens if I’m not ready by the compliance deadline?
  7. Is there a chance for a delay in the compliance date?
  8. What do I need to do to prepare for the upgrade to 5010?
  9. If I finish all of this work before the compliance deadline, can I start to use the 5010 transactions?
  10. What provider transactions are implemented with HIPAA 5010?
  11. Where can you obtain the X12 Technical Reports?
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Top 50 Venture-Funded Companies for 2011

The Wall Street Journal had a couple of very interesting articles about start-up companies and their ability to obtain funding.  The following list of top 50 venture-funded companies for 2011 came from one of those articles.  Of particular interest to me was the ease that some young entrepreneurs are finding in terms of ways to obtain capital, should their startups be technology-based.  Everyone is looking to get in on the next Facebook or Google.  Entrepreneur Aaron Levie, 26, was able to raise $48 million in less than 3 weeks for Box.net, his online storage company.  Check out what WSJ.com claims are the top 50 start ups for 2011 below:

Rank Company Name Location Industry Why It’s Hot 2010 Rank Total Equity Raised in Millions
1 Castlight Health Inc. San Francisco Health Care As consumers pay more of their health-care bills, Castlight lifts the veil on medical costs. 14 $81.00
2 Xirrus Inc. Thousand Oaks, Calif. Information Technology Founder Dirk Gates previously took another start-up, Xircom, public and then sold it to Intel. 9 $80.25
3 Xactly Corp. San Jose, Calif. Business and Financial Services Xactly’s partners include Microsoft, Oracle and Salesforce.com, which invested last June.   $69.00
4 Recycle Rewards Inc. New York Business and Financial Services Recyclebank is expanding internationally and currently operates in 29 states. 25 $73.35
5 ExteNet Systems Inc. Lisle, Ill. Information Technology ExteNet raised $128 million in a January 2010 round led by George Soros’s investment firm.   $191.90
6 Cyan Optics Inc. Petaluma, Calif. Information Technology CEO Michael Hatfield previously founded Calix Networks, which held an IPO last year.   $90.83
7 Aster Data Systems Inc. San Carlos, Calif. Information Technology Aster helps companies analyze data to understand customer behavior and detect fraud.   $47.00
8 Glam Media Inc. Brisbane, Calif. Consumer Services Glam’s sites attract 198 million monthly visitors world-wide. 13 $154.20
9 Carrier IQ Inc. Mountain View, Calif. Information Technology The software sits on 140 million devices world-wide, providing data to Sprint and Vodafone.   $48.00
10 Imperva Inc. Redwood Shores, Calif. Information Technology CEO Shlomo Kramer co-founded one of Israel’s largest tech companies, Check Point Software.   $54.00
11 Vidyo Inc. Hackensack, N.J. Information Technology Vidyo powers Google Chat and bundles its software on Hewlett-Packard PCs. 35 $61.19
12 Etsy Inc. Brooklyn, N.Y. Consumer Services It’s profitable and in August it estimated 2010 revenue of $30 million to $50 million.   $51.25
13 RGB Networks Inc. Sunnyvale, Calif. Information Technology RGB acquired mobile-video rival RipCode in June.   $119.00
14 IronKey Inc. Sunnyvale, Calif. Information Technology Founder and Chairman David Jevans helped develop Apple’s Internet strategy.   $50.30
15 Appia Inc. Durham, N.C. Information Technology Appia is moving to build app marketplaces for the likes of AT&T and Samsung.   $18.25
16 The Active Network Inc. San Diego Business and Financial Services Having raised at least $275 million, Active has made numerous acquisitions.   $272.44
17 Nimble Storage Inc. San Jose, Calif. Information Technology Nimble has built an appliance that provides primary and backup storage in one box.   $24.27
18 PatientSafe Solutions Inc. San Diego Health Care After raising $30 million in February, PatientSafe completed and launched its iPod Touch system.   $71.50
19 Glaukos Corp. Laguna Hills, Calif. Health Care Glaukos is developing a new medical-device treatment for open-angle glaucoma.   $117.55
20 Fusion-io Inc. Salt Lake City Information Technology Executive team boasts Apple co-founder Steve Wozniak. 2 $111.50
21 Achaogen Inc. South San Francisco, Calif. Health Care Has support from the National Institutes of Health and Department of Defense.   $103.00
22 NeuroPace Inc. Mountain View, Calif. Health Care Filed for approval of a system to monitor and stop epileptic seizures. 12 $130.30
23 Xoom Corp. San Francisco Business and Financial Services Two large, undisclosed public equities firms led its last $33 million round.   $81.44
24 Workday Inc. Pleasanton, Calif. Business and Financial Services The latest effort from Dave Duffield is challenging his earlier creation, PeopleSoft. 16 $110.00
25 SpiderCloud Wireless Inc. Santa Clara, Calif. Information Technology Helps carriers meet the growing demand for mobile broadband on corporate campuses.   $54.10
26 Jive Software Inc. Palo Alto, Calif. Information Technology Financed by Google backers Kleiner and Sequoia, Jive Software brings social-networking tools to big business.   $57.57
27 Federated Media Publishing San Francisco Consumer Services Federated Media has made three acquisitions since August to bulk up its advertising and publishing network.   $57.25
28 Boku Inc. San Francisco Business and Financial Services CEO Mark Britto previously led Ingenio to an acquisition by AT&T and Accept.com to Amazon.   $38.00
29 Zoosk Inc. San Francisco Consumer Services The “social” online-dating company has more than 15 million active monthy users. 42 $40.10
30 EndoGastric Solutions Inc. Redmond, Wash. Health Care With $120 million total raised, EndoGastric is pushing to profitability.   $128.68
31 Chegg Inc. Santa Clara, Calif. Consumer Services Chegg recently acquired two firms to expand into other student services. 32 $166.20
32 Everyday Health Inc. New York Consumer Services Everyday Health’s sites host 26.5 million visitors a month. In January, it partnered with AOL.   $77.20
33 Xsigo Systems Inc. San Jose, Calif. Business and Financial Services Xsigo’s board of directors includes Veritas Software’s Mark Leslie and HP’s chairman Ray Lane.   $60.00
34 Soasta Inc. Mountain View, Calif. Information Technology Soasta tests the mettle of online services prior to launch by simulating heavy traffic. 36 $21.05
35 Rally Software Development Corp. Boulder, Colo. Information Technology Rally was named the sixth best place to work in the U.S. by Outside magazine last year.   $49.25
36 Prosper Marketplace Inc. San Francisco Business and Financial Services Prosper leveraged the credit crisis to build a service matching lenders and borrowers.   $54.24
37 Pivot3 Inc. Houston Information Technology It says bookings doubled each of the last four years.   $78.00
38 Suniva Inc. Norcross, Ga. Energy and Utilities One of the only start-up solar-cell makers in the U.S. that’s enjoying rising demand. 15 $130.50
39 Veracyte Inc. South San Francisco, Calif. Health Care Developing minimally invasive molecular tests to provide earlier cancer diagnoses.   $49.00
40 ExactTarget Inc. Indianapolis Business and Financial Services Exact Target scrapped an IPO in 2009 and has bought three companies in 17 months.   $155.50
41 OncoMed Pharmaceuticals Inc. Redwood City, Calif. Health Care OncoMed has shown an ability to attack cancer stem cells, which resist traditional chemotherapy.   $168.02
42 ExaGrid Systems Inc. Westborough, Mass. Information Technology ExaGrid’s technology is similar to that of Data Domain, the subject of a $2.2 billion EMC-NetApp bidding war.   $78.10
43 SeeSaw Networks Inc. San Francisco Business and Financial Services Founder Monte Zweben previously founded Blue Martini Software and Red Pepper.   $19.59
44 Silver Peak Systems Inc. Santa Clara, Calif. Information Technology Silver Peak is growing quickly and taking on larger rival Riverbed Technology. 20 $59.80
45 Zilliant Inc. Austin, Texas Information Technology Zilliant uses scientific data to maximize profits by fine-tuning pricing.   $62.47
46 Yammer Inc. San Francisco Business and Financial Services Called “Facebook for business,” Yammer has been embraced by employees at large companies.   $40.00
47 Bivio Networks Inc. Pleasanton, Calif. Information Technology Its government contracts helped it navigate the recession better than most.   $78.30
48 TxVia Inc. New York Business and Financial Services CEO Anil Aggarwal has a decade of experience running electronic-payments firms.   $51.50
49 Service-now.com Inc. Del Mar, Calif. Information Technology Founder and CEO Fred Luddy was CTO of Peregrine Systems and Remedy. Former Documentum CEO Jeff Miller and Proflowers.com CEO Bill Strauss became directors last year. 45 $54.86
50 Aprius Inc. Sunnyvale, Calif. Information Technology Cofounder Peter Kirkpatrick hails from Intel and CEO Varun Nagaraj led NetContinuum.   $31.00

Source:Dow Jones VentureSource

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