tci Medicare Compliance & Reimbursement - 2019 Issue Q4

Industry Note: HPIDs and OEIDs End Dec. 27

After years of industry frustration and much stakeholder feedback to kibosh the mandate, the feds are putting the requirement of identifying health plans in HIPAA transactions to rest. Then: As part of its administrative simplification rollouts, the feds finalized a unique health plan identifier (HPID) and an other entity identifier (OEID) “for an entity that is not a health plan, individual, or healthcare provider, but that needs to be identified in a HIPAA transaction” in September 2012 rulemaking that was influenced by Affordable Care Act (ACA) provisions. However, in a final rule titled “Administrative Simplification: Rescinding the...

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