ACA Administrative Simplification Provisions

The Patient Protection and Affordable Care Act (ACA) of 2010 included a number of provisions that will directly impact the claims revenue cycle. Written to improve on the standards originally mandated under HIPAA and to accelerate a number of provisions of HIPAA that were never promulgated, Section 1104 of the ACA requires the adoption and regular updating of a number of critical standards, implementation specifications, and operating rules for the electronic exchange and use of health information for the purposes of financial and administrative transactions.

Operating Rules

Although the implementation of the X12N 4010 A1 version of the HIPAA 837 claim standard in 2004 was expected to significantly ...

Get Healthcare Information Technology Exam Guide for CompTIA Healthcare IT Technician and HIT Pro Certifications now with O’Reilly online learning.

O’Reilly members experience live online training, plus books, videos, and digital content from 200+ publishers.