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CMS issues HIPAA checklist for providers
The Department of Health and Human Services' Centers for Medicare and Medicaid Services (CMS) has issued a checklist to help health care providers who do business electronically and their business partners to comply with the administrative simplification requirements of the Health Insurance Portability and Accountability Act (HIPAA).
Use standard format
HIPAA does not require a health care provider to conduct all transactions such as claims or equivalent encounter information, payment and remittance advice, claim status inquiry and response, eligibility inquiry and response, and referral authorization inquiry and response electronically. But any of these things that are done electronically must be done in the standard format outlined under HIPAA. Checklist items include:
Talk to payers you bill to see what they are doing to prepare for HIPAA and ask for trading partner agreements that specify transmission methods, volumes, timelines, and coding and transaction requirements that are not specifically determined by HIPAA.