Delayed Implementation of X12N Version 5010 Paperwork Segment

CMS is delaying the implementation of the PWK (paperwork) segment associated with the X12N Version 5010 837 Professional and Institutional electronic claim transaction originally scheduled for July and October 2011. This means Medicare billers will continue to submit additional documentation which is needed for claims adjudication following the existing process established by their Medicare claims administration contractor. PWK will allow providers to submit electronic claims that require additional documentation and, through the dedicated PWK process, have the documentation imaged to be available during the claims adjudication. CMS will give ample notice before implementing change requests (CR) 7041 and 7306, which change how additional documentation for claims adjudication is submitted.