Does each health care entity have to certify its transactions?
No. Certification of EDI transactions covered by HIPAA is required by neither MDCH nor CMS at this time. All organizations that use these transactions are strongly urged to pursue certification. This includes entities not specifically covered by HIPAA, such as clearinghouses and software vendors. For an in-depth look at the benefits of certification, in addition to the benefits mentioned in section 1.2 of this document, please read Peter Barry s white paper, Economics of Third-Party Transaction Certification. Mr. Barry s paper, along with others can be found at www.claredi.com/whitepapers.php?PHPSESSID=4335dd816ba0f4ec03e3dd351fba13ab.
Related Questions
- If I have related entity expenses that aren’t eligible for a deduction and I had similar transactions in years before the addback was required, will the deductions be allowed for those prior years?
- Is an ALC required to request that a client receive an assessment from an outside entity or health care provider?
- Does each health care entity have to certify its transactions?
