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HIPAA Administrative Simplification Requirements Change Management Process

HIPAA Administrative Simplification Requirements Change Management Process. Evolutionary NOT Revolutionary. HIPAA Requirements will continue to evolve !. Change Request Coordination ?. 3 ANSI Standards Organizations 3 Data Content Committees DHHS / NCVHS. Memorandum of Understanding.

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HIPAA Administrative Simplification Requirements Change Management Process

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  1. HIPAA Administrative Simplification RequirementsChange Management Process Evolutionary NOT Revolutionary HIPAA Requirements will continue to evolve !

  2. Change Request Coordination ? • 3 ANSI Standards Organizations • 3 Data Content Committees • DHHS / NCVHS Memorandum of Understanding HL7 NUCC X12 NUBC NCPDP DeCC DHHS NCVHS

  3. MOU Guiding Principals • Public Access – Single Point of Entry • Timely Review of Change Requests • Cooperation and Communications • Consider All Viewpoints • Evaluate Impact of Change Requests • Maintain a National Perspective • Conform to Legislation

  4. http://www.hipaa-dsmo.org Work Request Tracking System Web Request Form 10 Business Days to Express Interest HL7 NCPDP X12 ADA NUBC NUCC 90 Days to develop organizational Recommendation (1 – 45 day extension if needed) HL7 NCPDP X12 ADA NUBC NUCC HL7 NCPDP X12 Change Request System (CRS) Implementation Guide / Data Content Change Requests Approved Changes Approved Changes Approved Changes

  5. Next Steps… • Annually, DSMO Steering Committee will provide NCVHS with a change summary & Recommendations. • NCVHS Reviews & Provides Recommendations to HHS • HHS • Initiate the HIPAA rule modifications accordingly • Federal Rulemaking process if required • NPRM • 60 Day Public Comment Period • Response to Comments • Publish Final Rule • Include a compliance date for changes to standards • Cannot be less than 180 days

  6. Web Site Information • HIPAA Change Request System • http://hipaa-dsmo.org • Accredited Standards Committee X12 • http://www.x12.org • Dental Content Committee of the ADA • (tbd) • Health Level Seven • http://www.hl7.org • National Council for Prescription Drug Programs • http://www.ncpdp.org • National Uniform Billing Committee • http://www.nubc.org • National Uniform Claim Committee • http://www.nucc.org • US Department of Health and Human Services • http://aspe.hhs.gov/admnsimp • National Committee on Vital and Health Statistics • http://ncvhs.hhs.gov

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