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Medicare Contingency Plan Does Not Mean
Physicians Can Relax HIPAA Compliance Efforts
[Posted 10/02/03]

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The Centers for Medicare & Medicaid Services (CMS) announced last week that it will continue to accept noncompliant electronic transactions after the October 16 deadline. CMS made the decision to implement its contingency plan because of an unacceptably low level of HIPAA readiness among providers and payors.

"Implementing this contingency plan moves us toward the dual goals of achieving HIPAA compliance while not disrupting providers’ cash flow and operations, so that beneficiaries can continue to get the health care services they need," said CMS Administrator Tom Scully.

Medicare will be ready to process compliant transactions on October 16, but it will also continue processing noncompliant electronic transactions for a limited time. While this may sound like good news, it does not mean that you can relax your compliance efforts. CMS has not indicated how long this reprieve will last. CMS will regularly reassess the readiness of its trading partners to determine how long the contingency plan will remain in effect. Medicare providers are still advised to test and implement HIPAA-compliant billing systems as soon as possible.

Additional HIPAA information and resources for members are available online in the HIPAA Help Center.

Contact: Legal information line, 415/882-5144 or legalinfo@cmanet.org.

 

   
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