CMS: Electronic claims must meet HIPAA standards
Compliance Monitor, August 10, 2005
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Healthcare providers must meet yet another aspect of the Health Insurance Portability and Accountability Act (HIPAA) beginning this fall.
On Oct. 1, the Centers for Medicare & Medicaid Services (CMS) will begin to return electronic claims that do not meet HIPAA standards. Until that date, noncompliant claims will be processed.
As of June, only about 0.5 % of Medicare fee-for-services providers submitted noncompliant electronic claims, according to a CMS release. The highest rate of noncompliant claims as of May was from clinical laboratories at 1.72%. Only 1.45% of claims from hospitals were noncompliant, as were about 0.45% of claims from physicians.
"We are firmly committed to an interoperable electronic healthcare system, and the close-to-100% compliance with HIPAA standards for claims shows that the healthcare industry shares this commitment," says CMS Administrator Mark B. McClellan.
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