NOTE: All dates, unless otherwise listed, reflect the date on which the item was posted to the DHHS HIPAA web site.

General Project Information

• CMS News and Links
• CMS Guidance on TCS Compliance Contingency Planning
• Interim Final Rule for Electronic Submission of Medicare Claims
• DHHS Transactions and Code Sets Approach [ PowerPoint ]
• DHHS Compliance Plan filed to delay the required compliance date

Understanding HIPAA

• Transactions and Code Sets Regulations
  • Transactions and Code Sets Regulations
  • Transaction Standards FAQs
  • Code Set FAQs
  • Transactions and Code Sets Questions Posed to HHS
• Claims Attachment Regulation
  • Claims Attachment NPRM
  • Summary of Claims Attachment NPRM
  • HL7 Claims Attachment FAQs

Baselining the Organization

• DHHS Transactions and Code Sets (includes EDI) Assessment Approach Document
• Inventory Application Systems (Use Application Systems Inventory Tool)
• Perform a High Level Application System Assessment (Use System Functionality Statement)

Planning for Compliance

• HIPAA Gap Analysis and Remediation Guide: Standards for Electronic Transactions

Remediating the Organization

• Remediation projects are currently underway in DMA, DPH and DMH/DD/SAS.

Validating Compliance

• Planning underway; check with us later.

Maintaining Compliance

• Planning underway; check with us later.

Certification Testing Information

Best Practices (Tools/methods from other organizations)

Additional Resources/Links

• Implementation Guides and Associated Addenda
• Building an EDI Infrastructure by NC ITS [ HTML | Powerpoint ]
• NC DHHS DMA web site (Medicaid bulletins, etc.)
• Workgroup for Electronic Data Interchange (WEDI)
• WEDI SNIP Transaction White Papers
• Designated Standard Data Maintenance Organizations
• National Uniform Billing Committee (NUBC)
• National Uniform Claim Committee (NUCC)
• Health Insurance ReForm: Standards for Electronic Transactions
• HL7 Briefing given at the WEDI Tech Forum by Chuck Meyer [ HTML | Powerpoint ]
• Electronic Data Exchange Assessment Strategies [ HTML | Powerpoint ]
• National Council of Prescription Drug Programs (NCPDP)
• HL7 Standards from Health Level 7, providers of HIPAA-specific clinical and administrative data internal to the Health Care Additional Information (275) transaction
• Accredited Standards Committee X12 (ASCX12): Web site of the organization that developed the X12 transaction sets standards and the associated HIPAA implementation guides
• Claim Adjustment Reason Codes
• Health Care Provider Taxonomy Codes
• Remark Codes
• WEDI SNIP - Medicaid Response to the Local Code Dilemma
• NEW CMS-1500 (08/05) Form