EFT and RA Transaction Operating Rules IFC Published in Federal Register August 10

August 10, 2012.  Today, the Interim Final Rule with comment period (IFC):  Administrative Simplification:  Adoption of Operating Rules for Electronic Funds Transfers (EFT) and Remittance Advice Transactions, was published in the Federal Register.  The effective date of the IFC is the date of publication, August 10, 2012.   Comments on the IFC may be submitted to the Department of Health and Human Services (HHS) on or before October 9, 2012, with submission instructions included on page 48008 of the IFC.    The Executive Summary (without footnotes) from the IFC follows: “A.  Purpose of the Regulatory Action.  Health care spending in the United States constitutes nearly 18 percent of the US…

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CMS Initiates 90-Day Enforcement Discretion for 5010 Compliance

January 1, 2012, is the date for covered entities to achieve compliance with ASC X12 Version 5010, NCPDP Telecom D.0, and NCPDP Medicaid Subrogation 3.0 transaction standards. Covered entities include healthcare providers, health plans, and healthcare clearinghouses. Small health plans have until January 1, 2013, to comply with the NCPDP Medicaid Subrogation 3.0 standard. The Center for Medicare & Medicaid Services (CMS) Office of E-Health Standards and Services (OESS) is responsible for enforcement of compliance with electronic transaction standards.  CMS announced on November 17, 2011, that “[w]hile enforcement action will not be taken [from January 1-March 31, 2012], OESS will continue to accept complaints associated with compliance with Version 5010,…

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One Week from Today: 5010/D.0 Final Rule Effective Date

They’re coming: the Ides of March (the 14th); NCAA Basketball Tournament Announcement (the 15th); St. Patrick’s Day (the 17th); and 5010/D.0 Final Rule Effective Date (the 17th). If you are a covered entity, Level 1 testing begins Tuesday, March 17, 2009. Here are five things you need to do to start. Conduct a Gap Analysis. What do I need to do to become compliant on January 1, 2012? That date sounds far off, but it will be here before you know it. Unlike previous transaction contingency periods for covered entities and their trading partners, HHS has indicated that there will be no tolerance for those not ready. Read the final…

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