GNYHA: Resource Centers: Resource Centers by Topic: Legal and Regulatory: HIPAA and Other Privacy and Security Issues: HIPAA Transaction & Code Sets

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HIPAA Transaction & Code Sets

GNYHA has launched several initiatives to facilitate implementation of the HIPAA Transaction and Code Set standards. This resource area includes information on GNYHA HIPAA Transaction Set workgroup, regulations, and Web site links to outside resources. The HIPAA transaction area is divided into three sections.

HIPAA Workgroup Meetings

GNYHA has a HIPAA Transactions and Code Sets workgroup that meets regularly to facilitate HIPAA implementation for GNYHA members. At these workgroup meetings, members share implementation strategies, challenges, and testing approaches, and are apprised of any regulatory changes. Payer and provider collaboration during the HIPAA implementation process is critical to ensuring a smooth transition. Payers participate in the GNYHA workgroup meeting to discuss ambiguous data elements, expectations for optional data elements, testing, and implementation timelines. These workgroup meetings provide a forum for providers to articulate to payers key changes to facilitate their HIPAA implementation and maximize electronic transactions.

National Provider Identifiers GNYHA Briefing (March 3, 2006)

National Provider Identifiers and What It Means to Organizations and Individuals 113 KB (Johnson, Sestak & Quist, LLP)

Regulations

Standard Unique Employer Identifier - Final Rule 83.9 KB (May 31, 2002)
Modifications to Electronic Transaction Standards - Proposed Rule 59.0 KB (May 31, 2002)
Standards for Electronic Transactions - Final Rule 484 KB (August 17, 2000)

HIPAA Resources - Presentations, Reference Materials, Web Links

CMS Presentation on Administrative Simplification
CMS Overview

CMS Glossary of HIPAA Terms
CMS HIPAA Glossary 595 52.0 KB

CMS HIPAA Q&As: Link to CMS frequently asked questions

Empire Medicare Services
Information on Fiscal Intermediary testing and implementation timeline, training, seminars, and frequently asked questions.
HIPAA Hotline: 315/442-4576

New York State HIPAA Information Center for Providers
Resources for providers on HIPAA implementation including information on Medicaid HIPAA readiness, testing and implementation schedule.

US Department of Health and Human Services, Administrative Simplification
Links to laws and regulations governing HIPAA administrative simplification provisions, FAQs on privacy.

Washington Publishing Company Website
Provides access to HIPAA transaction implementation guides

Workgroup for Electronic Data Interchange (WEDI)
Background/overview information on HIPAA as well as detailed papers from the Strategic National Implementation Process (SNIP) workgroups.