Managed Care

 

1-Year Delay Near In Implementation Of HIPAA Rules

MANAGED CARE January 2002. © MediMedia USA
News and Commentary

1-Year Delay Near In Implementation Of HIPAA Rules

MANAGED CARE January 2002. ©MediMedia USA

It looks like most players in health care — IT vendors excluded — will get what they want if a bill delaying the deadline for compliance with the Health Insurance Portability and Accountability Act's electronic claims standards becomes law. At press time, the bill had passed both houses of Congress and was in a conference committee.

Under the original legislation, physicians, hospitals, and health plans had until Oct. 16 to comply with provisions that require electronic filing of most claims using standardized data.

Some health plans, physicians, and state Medicaid officers complained loud and long that the deadline — and sometimes, money — was too short to expect compliance on time. HIPAA comes with strong financial penalties for violations.

The Senate, in late November, passed a one-year extension of the deadline. But when hospitals complained that they had been working hard to meet the deadline and were eager to reap HIPAA's promised savings, the House modified the legislation before passing it Dec. 13.

The House version allows those who are ready to begin using the standardized data sets. Those who need another year could apply for an extension, but only if they can submit a detailed compliance plan.

Meetings

2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014
6th Semi-Annual Diagnostic Coverage and Reimbursement Conference Boston December 4–5, 2014
Customer Analytics & Engagement in Health Insurance Chicago December 4–5, 2014
Pharmaceutical and Biotech Clinical Quality Assurance Conference Alexandria, VA December 4–5, 2014
9th Semi-Annual Medical Device Coverage and Reimbursement Conference San Diego December 5, 2014
8th Annual Medical Device Clinical Trials Conference Chicago December 8–9, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015