[ Friday, January 04, 2013 ]


Super-Wonky HIPAA News: This relates to the transaction and code set standards.  Back in June 2011, CMS published a rule outlining new requirements for two specific electronic transactions: health plan eligibility and health claim status.  That rule became final a year ago, with an effective date of 1/1/13.  Well, it turns out that most covered entities haven't fixed their transactions and code sets to meet the new requirements.  So CMS has decided that, while the rule is still effective as of the first of the year, it won't enforce it for the next 3 months.  If you're not in compliance, you can still have a complaint filed against you, but if you can prove that you're engaged in "good faith efforts" to get into compliance, they'll let you off the hook.

Jeff [4:14 PM]

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