Health Plans Get a Reprieve on HIPAA Compliance

Health Plans Get a Reprieve on HIPAA Compliance

The “Administrative Simplification: Certification of Compliance for Health Plans” proposed rule has been withdrawn. Although health plans still must comply with HIPAA electronic transaction regulations, they do not have to certify their compliance or else be fined.

HHS Backs Down on Certification

The U.S. Department of Health and Human Services (HHS) published the proposed rule Jan. 2, 2014, in the Federal Register. After considering the 72 public comments they received, HHS decided to withdraw the proposed rule on Oct. 4.
The proposed rule would have required controlling health plans to submit information and documentation demonstrating compliance with HIPAA standards and operating regulations for three electronic transactions: eligibility for a health plan, health care claim status, and health care electronic funds transfers (EFT) and remittance advice. The rule also would have established penalty fees for noncompliance.

What’s Next?

HHS says it will “re-examine the issues and explore options and alternatives to comply with the statutory requirements” set forth under HIPAA.
Administrative Simplification: Certification of Compliance for Health Plans; Withdrawal

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Renee Dustman, BS, AAPC MACRA Proficient, is managing editor - content & editorial at AAPC. She holds a Bachelor of Science degree in Media Communications - Journalism. Renee has more than 30 years' experience in journalistic reporting, print production, graphic design, and content management. Follow her on Twitter @dustman_aapc.

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