Medicare Compliance & Reimbursement - 2003 Issue 30
HIPAA: TRANSACTION RULE ENFORCEMENT FORECAST
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Article Overview
This article reviews CMS guidance on how compliance issues under the HIPAA transactions and code sets standard may be handled after the implementation deadline. It is aimed at providers, billing staff, compliance teams, and other covered organizations that need to understand the general enforcement approach, the role of complaints, and the importance of documenting good-faith compliance efforts.
Why This Topic Matters
Organizations subject to HIPAA transactions and code sets rules need to understand how CMS may approach noncompliance after the deadline so they can assess risk, prioritize internal compliance work, and maintain documentation of their efforts.
What You Will Learn
- The general focus of CMS guidance on HIPAA transactions and code sets compliance after the implementation deadline.
- How the article characterizes the enforcement approach and the types of organizations affected.
- Why documentation of compliance efforts is emphasized in the article.
- The broad relationship between this guidance and HIPAA compliance oversight.
Who Should Read This
- Providers
- Billing and coding staff
- Compliance officers
- Healthcare administrators
- Covered organizations
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