The HIPAA Administrative Simplification provisions are in place to provide consistency in electronic communications within healthcare for Protected Health Information (PHI). These mandate the usage of standard transactions, code sets, and identifiers for the United States healthcare system.
Who Must Comply?
The most common organizations which must comply are healthcare clearinghouses, healthcare providers, and health plans. Organizations that are considered covered entities usually require compliance, but there are exceptions. Examples may include providers who don’t have records in electronic format and educational institutions which provide healthcare services for only students.