HIPAA resources
Medlearn Matters article: "Medicare Providers: Their Vendors,
Clearinghouses, or Other Third Party Billers, and the HIPAA/Medicare
Contingency Plan"
http://www.cms.hhs.gov/medlearn/matters/mmarticles/2004/SE0414.pdf
Medicaid HIPAA Administrative Simplification
http://cms.hhs.gov/medicaid/hipaa/adminsim/default.asp
Strategic National Implementation Process
http://snip.wedi.org/
Administrative Simplification
http://aspe.hhs.gov/admnsimp/
Electronic Claims Testing
It is important that all providers who submit electronic
claims test with their designated vendors and clearinghouses.
An important tool for testing is the companion guide which
can be found at these locations at WebMD:
837- Professional: http://www.webmdenvoy.com/HIPAA/professional-detailed-reference.pdf
837- Institutional: http://www.webmdenvoy.com/HIPAA/institutional-detailed-reference.pdf
Electronic Transactions and Code Set Resources
The Centers
for Medicare & Medicaid Services (CMS) has resource
information on how to become HIPAA compliant. The deadline
for electronic transactions and code sets is October 16, 2003.
There are a multitude of resources we have found to be very
useful. Here are just a few: Questions to ask Vendors, TPAs
or Clearinghouses Steps Toward HIPAA Compliance HIPAA Resources
Guidance Documents
CMS Webcast
HIPAA Presentations The CMS Southern Consortium's Achieving
Compliance Together (ACT) Team has developed a series of HIPAA
presentations. They can be accessed via the internet and there
is no cost to you. Access
these presentations.
You can choose any of the following presentations:
- Message to Providers
- HIPAA Basics
- Provider Steps to Getting Paid
- HIPAA Security
- CMS Enforcement of T&CS
- 837 for Professional Claims
- 837 for Institutional Claims (Coming Soon)
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