Jan. 8 — HIPAA-covered entities have gained time to comply with operating
rules for electronic transactions related to health plan eligibility and claim status, according to an announcement from the Centers for Medicare & Medicaid Services’ Office of E-Health Standards and Services (OESS).
OESS said it won’t pursue enforcement against noncompliant entities until March 31, 2013, although the compliance date for using the operating rules, as required by the Affordable Care Act, remains Jan. 1, 2013.
OESS said it implemented the 90-day discretion period to reduce “significant” disruption to the healthcare industry because industry feedback suggested a majority of HIPAA-covered entities would not be in compliance by the original deadline. It is still encouraging those entities already prepared to conduct transactions to determine their readiness now, per the original deadline.
Copies of the operating rules for the eligibility for a health plan and healthcare claim status transactions are available from the Council
for Affordable Quality Healthcare’s (CAQH) CORE website.
Publication Date: Tuesday, January 08, 2013