tci Medicare Compliance & Reimbursement - 2022 Issue Q4

Industry Notes: Master HIPAA Transactions With These CMS Tools

If the HIPAA Administrative Simplification provisions that impact your electronic transactions have you scratching your head, you’re not alone. But there are several online offerings that can help you with your questions. CE basics: You may be unsure of whether you’re a covered entity (CE). The Centers for Medicare & Medicaid Services (CMS) offers individuals and organizations the opportunity to determine their CE status with a decision tree. The online tool guides healthcare providers, plans, and clearinghouses through a series of questions about the Administrative Simplification requirements and HIPAA while assisting with the CE determination. You can...

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