Effective October 1, 2005 , Medicare will not process electronic claims submitted for payment that are not HIPAA compliant. Electronic claims that do not meet the electronic format will be automatically rejected and returned to the clinical social worker. This does not pertain to paper files.
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Effective October 16, 2003 the HIPAA Electronic Standards and Code Sets have been implemented. Clinical social workers in private practice and other health providers who transmit and/or receive patient health information electronically are required to be in compliance. However, on September 23, 2003 the Centers for Medicare & Medicaid Services (CMS) announced a contingency plan to accept noncompliant electronic transactions after October 16, 2003.
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