California Physician

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CMS Offers HIPAA Transactions Guidance, Holds to Deadline
[07/31/03]

For More Information

CMA's "HIPAA
Transaction Rule Primer"

CMA's "HIPAA
Transactions Checklist"

CMS's "Guidance on Compliance with HIPAA Transactions and Code Sets"

CMS's "Questions to Ask Vendors, TPAs, or Clearinghouses"

CMA's Transactions and
Code Sets HIPAA Workshop

"HIPAA For Procrastinators: What to do now!" A CME Program for Medical Staffs, Group Practices and their Office Workforce

HIPAA ToolKit on CD-Rom

HIPAA Tip Index

HIPAA Help Center
Responding to the health care industry’s concern about HIPAA readiness, the Centers for Medicare & Medicaid Services (CMS) this week issued its "Guidance on Compliance with HIPAA Transactions and Code Sets." This document outlines CMS’s approach to enforcement of HIPAA’s electronic transaction provisions.

CMS said it would be lenient with enforcement for a short time after the October 16 deadline, provided entities are making "good-faith" efforts at compliance and can demonstrate their efforts through corrective action plans.

While this guidance allows health plans to pay physicians who are working in good faith toward compliance after the deadline, CMS reemphasized the importance of acting now and provided a checklist of questions to discuss with your vendor/clearinghouse/billing service. The checklist is very similar to the HIPAA transactions guidance you have received from CMA over the past few months through CMA Alert.

Additional HIPAA details, including CMA’s new "HIPAA Transaction Rule Primer" and information about Medicare’s small practice HIPAA exemption, are available online in the HIPAA Help Center.

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