“Go-to-Info” is the short name for HIPAA Administrative Simplification Information Bulletins. Informational Bulletins share information, address operational and technical issues, and highlight best practices, initiatives or related efforts. Informational Bulletins do not establish new policy or provide new guidance.
Announces a proposed rule to adopt standards for health care attachments transactions and standards for electronic signatures to be used in conjunction with health care attachments transactions as well as a modification to the standards for the referral certification and authorization transaction, moving it from the X12 278, Version 5010 to the X12 278, Version 6020.
Announces a proposed rule to modify the currently adopted National Council for Prescription Drug Programs (NCPDP) Version D.0 standard to the Telecommunications Standard Implementation Guide Version F6 and the equivalent Batch Standard Implementation Guide Version 15.
Explains how to properly follow requirements for reporting eligibility and benefits response information.
Announces the release of a new fact sheet on EFT and ERA reassociation and how HIPAA standards and operating rules simplify and streamline the reassociation process.
Explains the correct way to utilize the NM1 Corrected Patient/Insured segment on the 2100 Loop of the ASC X12N Version 5010 X 221 Health Care Claim Payment/Advice (835).
Announces the publication of the final rule CMS-0055-F, which modifies the requirements for use of the National Council for Prescription Drug Programs (NCPDP) Telecommunication Standard Implementation Guide, Version D, Release 0, August 2007, by requiring the use of the Quantity Prescribed (460-ET) field to identify partial fills for Schedule II drugs.
Announces the release of revised statistical reports regarding the CMS HIPAA complaint enforcement program.
Announces the publication of Final Rule CMS-0054-F, which eliminates the regulatory requirement for health plans to obtain and use a Health Plan Identifier (HPID) and eliminates the voluntary acquisition and use of the OEID.
Announces the launch of the volunteer Provider Pilot Program to test the process for reviewing compliance with HIPAA Administrative Simplification rules among providers.
Announces the launch of the Compliance Review Program to ensure compliance among covered entities with HIPAA Administrative Simplification rules for electronic health care transactions.
Announces the completion of the Optimization Pilot, a small-scale effort to recruit volunteer health plans and clearinghouses to submit HIPAA standard transactions to HHS for compliance testing. HHS initiated the Optimization Pilot in preparation for the full-scale Compliance Review Program.
Announces the publication of a proposed rule to modify the requirements for the use of the Telecommunication Standard Implementation Guide, Version D, Release 0 (Version D.0), August 2007, National Council for Prescription Drug Programs (NCPDP) by requiring HIPAA covered entities to use the Quantity Prescribed field (460-ET) for retail pharmacy transactions for Schedule II drugs.
Announces the publication of a proposed rule to eliminate the regulatory requirement for health plans to obtain and use an HPID, as well as eliminate the voluntary acquisition and use of the OEID.
Provides an overview of Subregulatory Guidance materials.
NSG has created a special mailbox to receive questions, comments and feedback on Guidance Letters, Bulletins, and FAQs, and any other related matters. The address for that mailbox is AdministrativeSimplification@cms.hhs.gov.
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