CMS to Reject Non-HIPAA-Compliant Claims

Starting Oct. 1, CMS will no longer process electronic Medicare

The action, announced Aug. 4, affects claims for services provided under fee-for-service Medicare, ending a portion of the CMS HIPAA contingency plan in effect since Oct. 16, 3008, under which Medicare continued accepting noncompliant electronic claims after the original compliance deadline. Although the contingency continues for other electronic healthcare transactions, CMS said it expects to end the contingency plan for those transactions in the future, beginning with the remittance advice transaction.

To read the CMS announcement to reject noncompliant claims, go to www.cms.hhs.gov/media/press/ release.asp?Counter=1528.

To read a Medlearns Matters article on this topic, go to www.cms.hhs.gov/medlearn/matters/ mmarticles/2005/MM3956.pdf.