The Centers for Medicare and Medicaid Services on January 3 issued notification that it will not enforce compliance with new “operating rules” for the HIPAA eligibility and claim status transactions until March 31, 2013. The compliance date for the rules was January 1, 2013.
Operating rules to make HIPAA electronic transactions more standardized are mandated under the Affordable Care Act. Industry stakeholders are working on a series of rules with compliance dates between 2013 and 2016. For instance, the compliance date for EFT/ERA transactions is January 1, 2014. Then, a series of rules for claims/encounters, coordination of benefits, enrollment/disenrollment, premium payments, attachments and referral certification/authorization have a compliance date of January 1, 2016.
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