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Re: HIPPA
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Steve Verno
HIPAA
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Jul 31 02 2:04 PM
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My Recent Posts
HIPAA Model Compliance Extension Plan and Instructions
Now Available
In 1996, the Health Insurance Portability and Accountability Act (HIPAA) became
law. It requires, among other things, that the Department of Health and Human Services
establish national standards for electronic health care transactions and code sets.
October 16, 2002, is the deadline for covered entities such as health plans, clearinghouses and providers (such as physicians, dentists, hospitals, nursing homes
and others) to comply with these new standards.
However, in December 2001, the Administrative Simplification Compliance Act (ASCA, Public Law 107-105) gave covered entities not compliant by October 16, 2002, the opportunity to extend their compliance
deadline by 1 year to October 16, 2003.
This extension opportunity is applicable to all
HIPAA covered entities other than small health plans (those with less than $5 million in annual receipts whose compliance date is already set for October 16, 2003). In order to qualify for this extension, covered entities must submit a compliance plan by October 15, 2002.
A model compliance plan and instructions on how to complete and submit it are available on the Centers for Medicare & Medicaid Services (CMS) Web site,
www.cms.hhs.gov/hipaa.
You can submit this on-line model plan electronically through the Web site or print and mail it. You can submit your own paper version of the plan as long as it provides equivalent information (covered entity and contact information; reasons for filing for the extension; HIPAA implementation budget information; and where you are in implementing and testing including whether or not you plan to use a vendor). The CMS strongly encourages electronic filing but if you must file on paper, you
should send your form to
Model Compliance Plans
Centers for Medicare & Medicaid Services (CMS)
P.O. Box 8040, Baltimore, MD. 21244-8040.
The deadline for both electronic and paper submissions is October 15, 2002.
If you file electronically through the Web site, you will receive an electronic confirmation number acknowledging and granting your extension. If you file a paper
version, you wont receive a confirmation, but if your paper plan consists of the required equivalent information, you may consider your extension granted.
The instructions give more details on how to complete the form; explanation of who should file for an extension; data you need to include; and where to get more information on definitions, frequently asked questions, etc. For more information, submit questions to askhipaa@cms.hhs.gov.
Providers Using Medicare Supplied Billing Software
Medicare contractors will continue to provide electronic billing software for providers to use to submit their Medicare claims. The HIPAA compliant version of this software will be available on or near July 15, 2002, from PC-ACE Pro32 ® Support of First Coast
Service Options, Inc. (FCSO). Any providers who will continue to use the non-HIPAA version Medicare billing software at any time between October 16, 2002, and October 16, 2003, must submit a Compliance Extension Plan as described above.
Source: CMS Transmittal AB-02-071, Change Request 2168
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Association News
Medical Billing & Coding Education from the MAB
Continuing Education
Management Advice and Training
Questions Asked More Than Once
Help Wanted - Billing and Coding
Non Billing Talk
The Venting Area (Clean posts please)
Medical Coding and Billing News
Fraud and Abuse
Health Insurance - Provider Contracting
ERISA
Tricare
Workers' Compensation
General Medical Billing Questions
Appeals
Accounts Receivables (A/R)
Refunds
Auto Accident Issues
Medisoft Technical Support
Medical Software Technical Support Questions Other than Medisoft. No Investigation Questions!
General Medical Coding Forum
CPT Coding Questions
HCPCS Coding Questions
ICD-9-CM Coding Questions
Evaluation & Management Coding Questions
Acupuncture Billing and Coding
Ambulance Coding and Billing
Cardiology Coding and Billing
Chiropractic Coding and Billing
Dental Billing and Coding
DME Coding and Billing
Emergency Department Coding and Billing
Family Practice Coding and Billing
Hospital Inpatient and Outpatient Coding
Hospital Billing, Appeals and Collections
Internal Medicine Coding and Billing
Laboratory Coding and Billing
Ophthalmology Coding and Billing
OB-GYN Coding and Billing
Pain Management Coding and Billing
Pediatric Coding and Billing
Podiatry Coding and Billing
Physical Therapy Coding and Billing
Psychiatry Coding and Billing
Radiology Coding and Billing
Surgery Coding and Billing
Neurology Coding and Billing
Urgent Care Coding and Billing
Provider Compliance
Billing Center Compliance
HIPAA
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