Other HIPAA-related resources page on the Centers for Medicare & Medicaid Services (CMS) website.
Link to the Department of Health and Human Services' (DHHS) office for HIPAA privacy rule, which protects the privacy of individually identifiable health information.
Electronic Data Interchange (EDI) Web page on CMS.gov containing information on EDI transaction and corresponding paper claims requirements.
Learn about HIPAA 5010 and D.0 standards for electronic submission of claims.
This link provides Medicare trading partners access to the not otherwise classified (NOC) code list being used for ASC X12 version 5010 837 professional and institutional transactions. [TDL 12152]
If your transmissions are unsuccessful, your mailbox password may have expired. Use this form to check the expiration date of your current password.
Learn about the EDI Gateway and how it manages the exchange of electronic transactions with First Coast Service Options Inc.
This link takes you to several code lists related to HIPAA on the Washington Publishing Co. website. Included in the code lists are specific details, including the date when a code was added, changed, or deleted. [CR 6525]
The Administrative Simplification Compliance Act (ASCA) is a law that requires all initial claims reimbursed under Medicare be submitted electronically, with limited exceptions.
The HETS is intended to allow the release of eligibility data to Medicare providers, suppliers, or their authorized billing agents for the purpose of preparing an accurate Medicare claim, determining beneficiary liability or determining eligibility for specific services. [PERL 200612-10]
Here are key steps to take if you receive an ASCA enforcement review letter.
Review the Centers for Medicare & Medicaid Services’ (CMS) responses to providers’ frequently asked questions regarding HIPAA administrative simplification (HIPAA AS).