Hospital & Healthcare Management December 20, 2022
The Centers for Medicare and Medicaid Services unveiled a new proposed rule on December 19th that will amend HIPAA to better enable prior authorization and claims-related transactions by establishing guidelines for the use of electronic signatures in healthcare attachment transactions. The proposed regulation is titled Modification to Referral Certification and Authorization Transaction Standard and Adoption of Standards for Health Care Attachments Transactions and Electronic Signatures.
If adopted, it would encourage the creation of standards for transactions with preauthorization attachments, such as medical records, X-rays, and provider notes describing physician referrals. A guideline for the referral certification and authorization transaction would be included in the HIPAA amendments.
According to CMS, the proposed rule may cut administrative expenses by $454 million annually...
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