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Article: HIPAA could impact state 'prompt pay' laws: 'clean claim' redefined?(Practice Trends)
- Article from:
- OB GYN News
- Article date:
- November 1, 2003
- Author:
CopyrightCOPYRIGHT 2003 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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WASHINGTON -- State "prompt pay" laws could be affected by the "transaction and code set" provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) that went into effect last month, Ann Leopold Kaplan said at a forum sponsored by the American Health Lawyers Association
Prompt pay laws require insurers to promptly pay providers who have submitted "clean claims," said Ms. Kaplan, a lawyer who specializes in health care policy. The question is, "Does a [HIPAA] compliant transaction equal a clean claim?"
HIPAA sets out specific instructions about how a claim must be formatted and what fields it must contain in order to be accepted ...