Fierce Healthcare May 24, 2018
Joanne Finnegan

The MGMA wants to see CMS enforce administrative simplification requirements on health plans.

While physician practices can complain about a health plan’s failure to comply with HIPAA and Affordable Care Act requirements, the Centers for Medicare and Medicaid Services has yet to issue a single enforcement fine.

In a letter sent to CMS Wednesday, the Medical Group Management Association (MGMA) urged CMS to step up enforcement of HIPAA and ACA administrative simplification requirements related to mandated transactions, operating rules, national identifiers and code sets.

“MGMA members have reported many occurrences of noncompliance on the part of health plans (including commercial plans, state Medicaid agencies...

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Topics: CMS, Govt Agencies, HIPAA, Insurance, Payer, Physician, Primary care, Provider
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