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HHS/CMS | RIN: 0938-AV43 | Publication ID: Fall 2024 |
Title: Administrative Simplification: Modifications to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Electronic Transaction Standards Version 8020 (CMS-0061) | |
Abstract:
This proposed rule seeks to adopt the updated versions of the standards for the electronic exchange of health information under the Administrative Simplification subtitle of HIPAA. Specifically, this rule would propose to replace the X12 Technical Reports Type 3, Version 5010 with the X12 Technical Reports Type 3, Version 8020 for health care claims or equivalent encounter information transactions (Institutional, Professional, and Dental) and electronic remittance advice transactions. These updated versions of the X12 standards would promote interoperability and ease the administrative burden on providers and health plans. We are developing this rule, in part, based on the number of stakeholders who have conveyed that the agency should adopt the updated version of X12 transaction standards. |
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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: Undetermined | Unfunded Mandates: No |
CFR Citation: 45 CFR 162 | |
Legal Authority: Social Security Act, sec. 1173 Pub. L. 104-191 (HIPAA) Pub L.111-148 (ACA), sec. 1104 |
Legal Deadline:
None |
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Timetable:
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Regulatory Flexibility Analysis Required: Undetermined | Government Levels Affected: Federal, Local, State, Tribal |
Federalism: No | |
Included in the Regulatory Plan: No | |
RIN Data Printed in the FR: No | |
Agency Contact: Geanelle Herring Technical Advisor Department of Health and Human Services Centers for Medicare & Medicaid Services Office of Healthcare Experience and Interoperability, MS: S2-26-17, 7500 Security Boulevard, Baltimore, MD 21244 Phone:410 786-4466 Email: geanelle.herring@cms.hhs.gov |