Resources for Health Insurance Portability and Accountability Act (HIPAA)

List of Testing Problems and New HIPAA Data Requirements Posted by CMS

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A new information regarding Medicare transactions and code set compliance has been posted by the Centers for Medicare and Medicaid Services (CMS) As HIPAAdvisory reported, a graph on the CMS site shows that from Nov. 10-14, the volume of Medicare electronic claims received in the HIPAA format was 48.44 percent. A Top 10 list offers guidance in response to submitter claim testing problems. The list covers technical and non-technical issues Medicare contractors have encountered that are preventing submitters from moving into production on the 837 claim. A second list covers the new required data elements on the HIPAA X12N 837 institutional and professional health care claim forms, which were not previously required on the electronic Part A (UB92) formats and Medicare Part B (National Standard Format). As of Oct. 1, all CMS transmittals are no longer broken into groups such as Part A, Carrier, etc.

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