HIPAA Reprieve: Five More Days for ComplianceBy M.L. Baker | Posted 2004-07-01 Email Print
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The Centers for Medicare and Medicaid Services had planned to treat non-HIPAA compliant electronic claims as paper claims starting July 1, but has now said that it will not do so until July 6.Medicare providers now have a few more days to file electronic claims that do not contain all the information required by the Health Insurance Portability and Accountability Act. The Centers for Medicare and Medicaid Services, or CMS, had planned to treat non-HIPAA compliant electronic claims as paper claims starting July 1, but has now said that it will not do so until July 6.
Another deadline for HIPAA compliance was scheduled for Oct. 16, 2003, but CMS began a contingency plan so that cash flow to providers was not interrupted. HIPAA requires that claims are submitted electronically according to a national electronic transaction standard, but many providers have not been able to meet the goals on time.
Under the current CMS payment system, paper claims are paid 13 days later than are all electronic claims. Now, compliant electronic claims will be paid no earlier than the 14th day after receipt, and paper and non-compliant electronic claims will be paid no earlier than the 27th day after receipt. The change only applies to covered entities submitting Medicare claims to a Medicare contractor.
For the CMS listing of Medicare FIs and carriers, click here.