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HHS/CMS | RIN: 0938-AT38 | Publication ID: Spring 2020 |
Title: Adoption of Standards for Health Care Attachments Transactions, Acknowledgments Transactions, Electronic Signatures, and Modification to Referral Certification and Authorization Standard (CMS-0053) | |
Abstract:
This proposed rule would adopt standards for healthcare attachments transactions and electronic signatures to be used in conjunction with healthcare attachments transactions. It would also adopt operating rules that require acknowledgments to be used for the eligibility for a health plan, healthcare claim status, and healthcare electronic funds transfers (EFT) and remittance advice transactions. In addition, it would adopt acknowledgments transactions standards for the healthcare claim status, enrollment and disenrollment in a health plan, health plan premium payments, coordination of benefits, referral certification and authorization, and healthcare attachments transactions. Finally, this proposed rule would modify the standard for the referral certification and authorization transaction from ASC X12 version 5010 to ASC X12 version 6020. |
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Agency: Department of Health and Human Services(HHS) | Priority: Other Significant |
RIN Status: Previously published in the Unified Agenda | Agenda Stage of Rulemaking: Proposed Rule Stage |
Major: No | Unfunded Mandates: Undetermined |
EO 13771 Designation: Regulatory | |
CFR Citation: 45 CFR 160 45 CFR 162 | |
Legal Authority: 42 U.S.C. 1320d-1 to 1320d-4 |
Legal Deadline:
None |
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Timetable:
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Regulatory Flexibility Analysis Required: Undetermined | Government Levels Affected: Federal, State |
Small Entities Affected: Businesses, Governmental Jurisdictions | Federalism: No |
Included in the Regulatory Plan: No | |
RIN Data Printed in the FR: No | |
Agency Contact: Daniel Kalwa Deputy Director, National Standards Group Department of Health and Human Services Centers for Medicare & Medicaid Services Office of Burden Reduction and Health Informatics, MS: C3-09-27, 7500 Security Boulevard, Baltimore, MD 21244 Phone:410 786-1352 Email: daniel.kalwa@cms.hhs.gov |