ED Coding & Reimbursement Alert - 2019 Issue 7
Industry Note: CMS Commences New HIPAA Audit Program
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Article Overview
This article covers CMS compliance and feedback initiatives affecting HIPAA-covered entities and Medicare providers. It explains the launch of a new CMS compliance review program tied to electronic health transaction oversight, and it also notes the return of the Medicare Administrative Contractor satisfaction survey for provider feedback. The piece is relevant to compliance, Medicare operations, and organizations monitoring federal administrative simplification activity.
Why This Topic Matters
Healthcare organizations, compliance teams, and billing professionals may need to track CMS audit activity and contractor feedback opportunities because both can affect administrative processes, reporting expectations, and engagement with Medicare programs.
Article Sections
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CMS Compliance Review Program
Overview of a new CMS compliance review initiative and its relationship to HIPAA administrative simplification oversight. The section describes the program’s general scope, participating entity types, and planned rollout timeline.
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MAC Satisfaction Indicator survey
Information about CMS reopening its annual Medicare Administrative Contractor satisfaction survey. The section explains the survey’s general purpose, intended audience, and related contractor categories mentioned by CMS.
What You Will Learn
- How CMS is expanding its compliance review activities
- What the article says about the scope of the new review program
- What the MAC Satisfaction Indicator survey is intended to measure
- Who CMS indicates can participate in the survey
- Which broader Medicare contractor categories are referenced in the update
Who Should Read This
- Compliance officers
- HIPAA privacy and administrative simplification staff
- Medicare billing and reimbursement professionals
- Provider office managers
- Healthcare organization administrators
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