MacPractice ANSI 5010

May 26, 2011
MacPractice helps ease transition for health-care providers to new EDI format required Jan. 1. 2012.

LINCOLN, Nebraska--MacPractice, an Apple developer of practice-management and clinical software, has assured clients and prospective users of the company's preparedness for the new ANSI 5010 EDI (electronic data interchange) format required Jan. 1, 2012.

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MacPractice, whose software is intended for physicians, dentists, chiropractors, and eye care professionals for Macs, iPhones, and iPads, has been working on behalf of doctors with its medical and dental clearinghouse partners since the end of 2010 to avoid potential interruption or delay of insurance payments and other EDI transactions.

These would include such as eligibility verification and electronic remittance advice due to the change in formats from ANSI 4010A1 to ANSI 5010, scheduled to take place.

Contrary to what heath-care providers have been told, MacPractice users need do nothing to prepare for 5010 now. There is no additional data that the office is required to collect at this time.

MacPractice users do not and will not need to test. On their behalf, MacPractice and its partner clearinghouses are conducting the testing that should be necessary with individual carriers.

MacPractice 4.1 makes it possible for clients who use a lock box or P.O. box to receive insurance payments to submit successfully. A new requirement of 5010 is that a physical address for the delivery of services be provided in addition to a P.O. box or lockbox address for payments if applicable.

While MacPractice 4.1 transmits and receives the 5010 format natively, MacPractice’s partner clearinghouses will convert 5010 to 40101A as needed during the transition for carriers who cannot send or receive the new format.

The major impetus for the required transition to ANSI 5010 on Jan. 1, 2012, is to provide a foundation for a future change to ICD-10, now scheduled for Oct. 1, 2013. Dates for ICD-10 implementation have changed several times over the last several years.

“In a time of confusion and rapid changes in regulation, we are glad to offer solace and support to our clients as we assure them of our ability to shepherd them through the transition to 5010,” said Mark Hollis, president of MacPractice.

MacPractice leverages Apple’s legendary ease of use, stability, and low-cost maintenance to create affordable, intuitive and flexible Mac-native software for doctors. The software, currently used in 3,600 practices, combines an ONC-ATCB 2011-2012 Certified EHR/EMR solution with practice-management tools in an intuitive system that can improve patient care, efficiency, and productivity.

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