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Health Provider ID Delayed

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  • In Audit
  • October 31, 2014
  • Comments Off on Health Provider ID Delayed

The Department of Health & Human Services (HHS) announced today that enforcement of the Health Plan Identifier (HPID) in HIPAA transactions will be delayed indefinitely. The move follows a Sept. 23rd recommendation by the Nationa Committee on Vital and Health Statistics (NCVHS) that all covered entities not use the HPID In HIPAA transactions.  The delay allows HHS time to review NCHVS’ recommendation and determine the next steps.
NCVHS recommended that, “HHS should rectify in rulemaking that all covered entities (current and future health plans, providers and clearinghouses, and their business associates) will not use HPID in administrative transaction, and that the current payer ID will not be replaced with HPID.”  They also asked that ” HHS should further clarify in the Certification of Compliance final rule, when and how the HPID would be used in health plan compliance certification and if there will be a connection with the Federally-facilitated Marketplace.”
Business associates are defined as providers, health plans, healthcare providers, clearinghouses, and billing companies .

Brad Ericson
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Brad Ericson, MPC, CPC, COSC, is a seasoned healthcare writer and editor. He directed publishing at AAPC for nearly 12 years and worked at Ingenix for 13 years and Aetna Health Plans prior to that. He has been writing and publishing about healthcare since 1979. He received his Bachelor's in Journalism from Idaho State University and his Master's of Professional Communication degree from Westminster College of Salt Lake City.

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