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HBMA RCM Advisor: The Journal of the Healthcare Business Management Association

HBMA Participates in NCVHS Panel

Roosa Calls for Enforcement of HIPAA Administrative
Simplification Standards

Arthur Roosa, chair of the Government Relations Committee, represented HBMA as a panelist at a December hearing of the National Committee on Vital and Health Statistics (NCVHS) focused on developing the roadmap for HIPAA standards. At the hearing, Roosa reiterated HBMA’s long-standing call for the Department of Health and Human Services to advance the HIPAA Administrative Simplification Standards.

The CMS Office of the National Standards Group is charged with overseeing compliance with the HIPAA Operating Rules. Roosa pointed out that enforcement of the HIPAA Administrative Simplification Operating Rules is long overdue.

Roosa stressed the need for a baseline for all data standards so that providers can be assured of both having their claims processed correctly and receiving a processable remittance advice response across all payers if providing the payer with a HIPAA-compliant transaction.
“Flexibility and innovations are generally good,” Roosa said, “but there is also a need to provide certainty that if engaging in a compliant transaction that a provider’s claim data will be processed correctly and timely.”


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