tci Medicare Compliance & Reimbursement - 2005 Issue 34

HIPAA GUIDELINES: E-Claims Must Be HIPPA-Compliant By Oct. 1

Providers can submit non-compliant claims through September.The Centers for Medicare and Medicaid Services announced Aug. 4 that as of Oct. 1, 2005, it will no longer process incoming electronic Medicare claims that do not comply with standards required by the Health Insurance Portability and Accountability Act of 1996.Prior to Oct. 1, claims in a non-compliant electronic format will continue to be paid. After that date, non-compliant claims will have to be re-submitted. CMS Says Providers Can Comply According to CMS administrator Mark McClellan, as of June 2005, only about 0.5 percent of Medicare fee-for-service providers submitted...

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