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“Help! We are getting a late start on 4010 to 5010 migration . . .”

If your healthcare organization is getting a late start on 4010 to 5010 migration, you are not alone. While you should be testing the new 5010 transaction sets with trading partners already, you may just now be getting budgetary funding to pursue a solution. At Perficient, we understand the challenge of catching up to meet regulatory deadlines and we have created a solution using our partnership with Edifecs. The approach is to create a “wrapper” around your inbound and outbound electronic transactions with what we call the Step Up/Step Down solution. This solution will intercept the inbound 5010 transactions and step them down to 4010 for processing with your current healthcare IT applications. When those same applications generate outbound 4010 transactions, then they are stepped up to 5010 for sending to your trading partners.

This approach has many advantages for organizations that are short on time to implement a full 5010 remediation effort or simply have too many competing IT projects, like implementing a new EMR or claims processing system. One of the key advantages is the ability to buy your organization time to remediate internal IT systems in a phased or systematic fashion, especially if you have limited IT personnel or budgets. Another advantage is that the Step Up/Step Down solution will accept either 4010 or 5010 transactions inbound or outbound. This capability provides flexibility as your trading partners work to meet regulatory deadlines as well. The third advantage is that this solution keeps all of the 4010 and 5010 transactions in a repository within the tool. This data repository allows the creation of reports to make sure that billing and accounts receivable are correct and balanced despite the migration. We believe this key advantage helps the CFO sleep at night.

If your organization would benefit from any of these advantages in your 4010 to 5010 migration, please attend this week’s Perficient webinar entitled “HIPAA 4010A1 to 5010 Migration: Rapid Compliance with a Step-up/Step-Down Approach” on Thursday, January 27, 2011 12:00 PM – 1:00 PM CST. We plan to discuss the details of this solution, the pros/cons and provide a live demonstration of the solution. Don’t miss it – it could save your organization stress, time and money. Register at:

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Martin Sizemore

Enterprise Architect with specialized skills in Enterprise Application Integration (EAI) and Service Oriented Architecture (SOA). Consultant and a trusted advisor to Chief Executive Officers, COOs, CIOs and senior managers for global multi-national companies and healthcare organizations. Deep industry experience as a consultant in manufacturing, healthcare and financial services industries. Broad knowledge of IBM hardware and software offerings with numerous certifications and recognitions from IBM including On-Demand Computing and SOA Advisor. Experienced with Microsoft general software products and architecture, including Sharepoint and SQL Server. Deep technical skills in system integration, system and software selection, data architecture, data warehousing and infrastructure design including virtualization.

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