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HIPAA Update

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HIPAA

Consultant Services: HIPAA Consultants

HSS HIPAA Rule And Meaningful Use Regulation Status 2005 - 2016
As of September 9, 2011

HIPAA Regulation

NPRM Publication Date

Final Rule Publication Date

Compliance Date

Claims Attachments, X12 V. 5010 and HL7 CDA Release 2

September 23, 2005

2011 or later (expected)

2013 or later* (expected)

X12 5010 Modification of 8 Existing 4010 Transactions

August 22, 2008

January 16, 2009

January 1, 2012

NCPDP Telecommunication Standard V. D.0 and Batch Equivalent V 1.2

August 22, 2008

January 16, 2009

January 1, 2012

NCPDP Medicaid Subrogation Standard V. 3

August 22, 2008

January 16, 2009

January 1, 2012*

NCPDP Batch Standard V. 1.2

August 22, 2008

January 16, 2009

January 1, 2012

ICD-10

August 22, 2008

January 16, 2009

October 1, 2013

ONC HIT Standards

January 13, 2010**

June 24, 2010

June 24, 2010

CMS Meaningful Use

January 13, 2010

July 28, 2010

2011 to 2016

Privacy Accounting for Disclosures

May 31, 2011

2012 (Expected)

2013-2014 (Expected)

National Health Plan Identifier

No NPRM Step

2012 (Expected)  

January 1, 2014
(Expected)

National Patient Identifier

No Activity

 

 

First Report of Injury

No Activity

 

 

*Additional 12 months for small health plans.

**Interim Final Rule

Note:  All expected dates are predictions by Boundary Information Group based on a combination of HHS published dates and experience.

Copyright Boundary Information Group

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ACA Operating Rules Status
2011 - 2016

Operating Rules

Adoption Date

Effective Date

Eligibility (270/271)

July 1, 2011

January 1, 2013*

Claims Status (276)

July 1, 2011

January 1, 2013*

EFT

July 1, 2012

January 1, 2014*

Payment and Remittance Advice (835)

July 1, 2012

January 1, 2014*

Health Plan Identifier

Not Specified

October 1, 2012

Health Claims or Equivalent Encounter Information

January 1, 2014

January 1, 2016**

Enrollment and Disenrollment in a Health Plan

January 1, 2014

January 1, 2016**

Health Plan Premium Payment

January 1, 2014

January 1, 2016**

Referral Certification and Authorization

January 1, 2014

January 1, 2016**

Health Care Claims Attachments (standard)

January 1, 2014

January 1, 2016**

*Health plans certification of compliance with operating rules and standards by December 31, 2013

**Health plan certification of compliance with operating rules and standards by December 31, 2015

***Recommendations are to be made and posted by January 1, 2011

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HIPAA Books

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HIPAA Tools

The Boundary Information Group is pleased to announce strategic partnerships that combined provides a powerful, complete and comprehensive solution to meet your HIPAA needs.

BIG Benefit Template - Click Here
BIG provides this benefit calculator as a service to the health care industry. In addition to utilizing it as a self administered tool that can be helpful in setting organization goals and objectives for HIPAA implementation in order to obtain the identified benefits, BIG is collecting the results from provider organizations, in order to compile benchmarks for the industry.

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Train for HIPAA - www.trainforhipaa.com
Train for HIPAA offers comprehensive HIPAA training ranging from e-learning solutions, through onsite training to special access to national conferences and audio conferences. Train for HIPAA core curriculum includes: HIPAA Basics Course, HIPAA Privacy and Advanced HIPAA Privacy, and HIPAA Security. In addition, advanced courses for research, business associates, and other specialized topics are available. ASP hosted and content only for internal use versions are available. Be sure to mention BIG has the referring entity when contacting Train for HIPAA.

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WEDI - www.wedi.org
BIG is a WEDI organization member that supports WEDI, WEDI SNIP, and the WEDI Foundation. Steven S. Lazarus, PhD, FHIMSS, BIG President, has been a member of the WEDI Board of Directors since 1992, was Chairman of the Board for 2001-2002, and is currently Past Board Chair. WEDI is a nonprofit trade association providing industry leadership for HIPAA implementation and promoting the use of e-commerce and improved internal workflows throughout the health care industry.

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