tci Medicare Compliance & Reimbursement - 2019 Issue Q4
Industry Note: HPIDs and OEIDs End Dec. 27
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Article Overview
This industry note covers a federal rule change affecting HIPAA administrative simplification and health plan enumeration. It summarizes why the requirement was rescinded, the compliance and systems implications for covered entities, and the associated HHS/CMS guidance on deactivation and preparation for the change. The article is relevant to compliance teams, revenue cycle professionals, and organizations that handle HIPAA transactions or maintain health plan identifier systems.
Why This Topic Matters
Organizations that exchange HIPAA transactions need to know when identifier requirements are withdrawn so they can update systems, avoid unnecessary administrative work, and prepare for automatic deactivation of active records under the new rule.
What You Will Learn
- What federal change was made to the health plan and entity identifier requirement
- Why stakeholders and HHS determined the requirement should be rescinded
- How the change affects HIPAA transaction processing and system readiness
- What CMS guidance says about deactivation of existing identifiers
Who Should Read This
- Compliance professionals
- Revenue cycle teams
- Health plan administrators
- HIPAA transaction managers
- Healthcare IT and operations staff
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