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The Health Insurance Portability and Accountability Act (HIPAA) (Public Law 104-191) was passed in 1996 to amend the Internal Revenue Code of 1986 to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and healthcare delivery, to promote the use of medical savings accounts, to improve access to long-term care services and coverage, to simplify the administration of health insurance, and for other purposes.
The Administrative Simplification provisions of HIPAA require the Department of Health and Human Services to establish national standards for electronic health care transactions and national identifiers for providers, health plans, and employers. It also addresses the security and privacy of health data. Adopting these standards will improve the efficiency and effectiveness of the nation’s health care system by encouraging the widespread use of electronic data interchange in health care.
The Upstate Medicare Division (UMD) has assembled the following resources for providers regarding HIPAA:
- Final Privacy Rule - An overview and available resources for the Privacy Rule.
- EDI - General News - Information on all other HIPAA issues regarding electronic data interchange (EDI). Includes information on billing requirements, testing, HIPAA-compliant vendors and software, and more.
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