Industry News

Electronic Claim Attachments

In conjunction with the Department of Health and Human Services (HHS), The Centers for Medicare and Medicaid Services (CMS) has issued a proposal to adopt standards for “health care attachments” transactions such as medical charts, xrays and provider notes that are often required to document physician referrals, and office or telemedicine visits. The proposed modifications to the 1996 HIPAA standards would support both health care claims and prior authorization transactions. As part of CMS’ ongoing efforts to reduce paperwork burdens, the proposed rule estimates a savings of $454 million annually in administrative costs. CMS is accepting comments on the proposal from all interested parties through March 22, 2023