Printer Friendly

HIPAA noncompliance starts to hurt.

The Centers for Medicare and Medicaid Services (CMS) is reminding providers that it certainly pays to submit HIPAA-compliant claims. Effective July 1, Medicare payment for electronic claims that are not HIPAA-compliant will take 13 additional days. Medicare carriers and intermediaries will begin enforcing these rules on July 6 to claims received on or after July 1. Thus, for example, HIPAA-compliant claims received on July 1 can be paid as early as July 15 (under existing waiting period rules), while claims received on July 1 that are not HIPAA-compliant can be paid no earlier than July 28.

In short, the government's patience is wearing a tad thin. Medicare implemented this contingency plan when it discovered that only 33% of electronic claims were HIPAA-compliant as of October 16, 2003, the compliance deadline.

Meanwhile, answering a frequently asked HIPAA-related question, the Center for Medicaid and State Operations/Survey and Certification Group at CMS has issued a letter stating that the HIPAA Privacy Rule does not alter the statutory requirements for nursing homes to post survey results or for the government to make survey results available.
COPYRIGHT 2004 Medquest Communications, LLC
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2004, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

Article Details
Printer friendly Cite/link Email Feedback
Title Annotation:News Notes; Health Insurance Portability and Accountability Act of 1996
Author:Edwards, Douglas J.
Publication:Nursing Homes
Article Type:Brief Article
Geographic Code:1USA
Date:May 1, 2004
Previous Article:Best and worst cities for SNF care identified.
Next Article:CMS supports PACE expansion.

Related Articles
The Online Privacy Maze.
HIPAA Privacy Rules Challenge Long-Term Care Providers. (Computer Quarterly Update).
Symantec introduces enterprise security manager for HIPAA.
Understanding HIPAA compliance. (Legal).
New online courses bring learning to your desktop.
U.S. law guides health privacy.
HIPAA: what it means (and doesn't mean) for your practice.
HIPAA compliance using serial ATA.
New HIPAA security guidance papers released.
Health insurance act affords privacy, but not private actions.

Terms of use | Privacy policy | Copyright © 2020 Farlex, Inc. | Feedback | For webmasters