tci Medicare Compliance & Reimbursement - 2004 Issue 3

HIPAA: TOP 9 HIPAA TRANSACTIONS RULE MISTAKES

Most Medicare claims aren't HIPAA compliant. It's a good thing the Centers for Medicare & Medicaid Services implemented a Health Insurance Portability and Accountability Act contingency plan. Health care providers clearly need the grace period. According to recent CMS statistics, less than half - 48.4 percent - of Medicare electronic claims submit ted between Nov. 10 and Nov. 14 were compliant with the HIPAA transactions and code sets standards. According to CMS, the following are the top 9 problems that have emerged during HIPAA claims testing with Medicare contractors:          ...

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