Friday, September 27, 2024

Administrative Simplification Enforcement and Compliance Frequently Asked Questions

The Centers for Medicare & Medicaid Services' (CMS) National Standards Group (NSG), on behalf of the U.S. Department of Health & Human Services (HHS), would like to share new Enforcement and Compliance Frequently Asked Questions (FAQs) (PDF).

These enforcement and compliance FAQs include answers to questions, such as:

What type of investigation does the National Standards Group (NSG) perform when it receives allegations of noncompliance with the HIPAA Administrative Simplification standards, operating rules, code sets, and unique identifiers?
What is the Administrative Simplification Enforcement Tool (ASETT)?
What information should I include when filing a HIPAA Administrative Simplification enforcement complaint?
What should I expect after filing a HIPAA enforcement complaint using ASETT?
Who can help me with issues with ASETT?
What do I need to do to test a HIPAA transaction through ASETT?
Do I need to provide Personally Identifiable Information (PII) when testing a HIPAA transaction using ASETT?
I am trying to use ASETT to test transactions using ASC X12 5010 standards, but I am having trouble performing tests. What can I do?
Where can I find educational materials regarding HIPAA Administrative Simplification transaction and code set enforcement on the CMS website?

For more resources on Administrative Simplification enforcement, please visit the Enforcement section of the HIPAA Administrative Simplification Resources and FAQs page.

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Visit our website at go.cms.gov/AdminSimp.

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