The federal agency responsible for regulations governing standardization of electronic transactions and data accessibility for consumers is ramping up adherence efforts.
The Department of Health and Human Services is launched a pilot auditing program, starting with health plans and claims clearinghouses, to ensure industry stakeholders are complying with HIPAA-related rules governing electronic healthcare transactions.
In April, the HHS selected nine covered entities for the pilot initiative for a compliance review. Transactions that will be assessed include electronic funds transfer, remittance advice, responses to eligibility for benefits requests and claim status requests.