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Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 Common Edits and Enhancements Module –File preparation (for MCS ONLY)

This CR is the third in a series of CRs for the maintainer of the Multi
Carrier System (MCS) to address the development and implementation of the Common Edits and
Enhancements software Modules, to handle Medicare Part B business. The purpose of this CR is to provide
requirements to the maintainer of MCS only, in the creation and disposition of the files necessary to perform
the 5010 editing. This editing will take place at the A/B MAC Local Data Center (LDC) post translation into
a Medicare compliant flat file.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: September 04, 2009

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.