The U.S. Centers for Medicare and Medicaid Services (CMS) said it will not process incoming non-HIPAA-compliant electronic Medicare claims submitted for payment beginning October 1 this year.
Claims that do not meet the HIPAA Transaction Code Set (TCS) requirement for electronic data interchange on or after October 1 will be returned to the filer for resubmission as compliant claims, the agency said.
The action announced yesterday affects claims for services provided under fee-for-service Medicare. It ends a portion of a CMS HIPAA contingency plan in effect since October 16, 2003, under which Medicare continued accepting noncompliant electronic claims after the original HIPAA TCS-compliance deadline.
By AuntMinnie.com staff writers
August 5, 2005
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