An organization developing "operating rules" to tighten the HIPAA transactions standards will continue its work as a federal district court ruling that the health care reform law is unconstitutional moves through the Court of Appeals and Supreme Court.

The Affordable Care Act mandates development and adoption of a series of operating rules through 2016, but the court ruling puts the mandate in legal limbo. Still, the Committee on Operating Rules for Information Exchange within CAQH, an alliance of payers and trade associations, is proceeding as if the reform law will continue to move forward, says Gwendolyn Lohse, managing director. "The deadlines are pretty aggressive and if we can't keep doing our work we can't meet them."

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