The Department of Health and Human Services has sent to the Office of Management and Budget an interim final rule to adopt operating rules for the HIPAA electronic eligibility verification/benefit determination and claims status transactions.
Transmission to OBM for review and approval is one of the last steps before publication of rules in the Federal Register.
The Affordable Care Act mandates adoption of a series of operating rules to tighten the HIPAA transactions standards between 2013 and 2016, starting with the eligibility and status transactions. The interim final rule would adopt "authoring organizations" to develop the operating rules--presumably the Committee on Operating Rules and the National Council for Prescription Drug Programs as these organizations originated the rules and are working on expansion under the reform law (see story).
-Goedert writes for Health Data Management, a SourceMedia publication
Register or login for access to this item and much more
All Employee Benefit News content is archived after seven days.
Community members receive:
- All recent and archived articles
- Conference offers and updates
- A full menu of enewsletter options
- Web seminars, white papers, ebooks
Already have an account? Log In
Don't have an account? Register for Free Unlimited Access