Suppose a provider fails to follow the transaction and code sets standardshow is he penalized?
If a covered entity does not follow the HIPAA guidelineswhich probably will happen more with payers than with providersor if the payer cannot accept the standard transaction that is required under HIPAA, the covered entity can be penalized. For instance, if you send Arkansas Medicaid a HIPAA transaction and we cannot accept it, the penalties apply to us. The penalty applies each time you try to submit a transaction is not accepted. It is not just a one-time penalty. Those penalties add up.
Related Questions
- Does the code of conduct required under the Mass. Rules follow the standards in the PhRMA and AdvaMed Codes for financial relationships with physicians?
- Suppose a provider fails to follow the transaction and code sets standardshow is he penalized?
- What are the consequences if a party fails to follow the Code?
