HIPAA Administrative Simplification Requirements Change Management Process

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HIPAA Administrative Simplification
RequirementsChange Management Process
Evolutionary NOT Revolutionary
HIPAA Requirements will continue to evolve !
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Change Request Coordination ?

• 3 ANSI Standards Organizations
• 3 Data Content Committees
• DHHS / NCVHS

Memorandum of Understanding
HL7
NUCC
X12
NUBC
NCPDP
DeCC
DHHS
NCVHS
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MOU Guiding Principals

1. Public Access Single Point of Entry
2. Timely Review of Change Requests
3. Cooperation and Communications
4. Consider All Viewpoints
5. Evaluate Impact of Change Requests
6. Maintain a National Perspective
7. Conform to Legislation

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Change Request System (CRS)
Implementation Guide / Data Content Change
Requests
Approved Changes
Approved Changes
Approved Changes
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Next Steps

• Annually, DSMO Steering Committee will provide
  NCVHS with a change summary Recommendations.
• NCVHS Reviews Provides Recommendations to HHS
• HHS
• Initiate the HIPAA rule modifications accordingly
  
• Federal Rulemaking process if required
• NPRM
• 60 Day Public Comment Period
• Response to Comments
• Publish Final Rule
• Include a compliance date for changes to
  standards
• Cannot be less than 180 days

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Web Site Information

• HIPAA Change Request System
• http//hipaa-dsmo.org
• Accredited Standards Committee X12
• http//www.x12.org
• Dental Content Committee of the ADA
• (tbd)
• Health Level Seven
• http//www.hl7.org
• National Council for Prescription Drug Programs
• http//www.ncpdp.org
• National Uniform Billing Committee
• http//www.nubc.org
• National Uniform Claim Committee
• http//www.nucc.org
• US Department of Health and Human Services
• http//aspe.hhs.gov/admnsimp
• National Committee on Vital and Health Statistics
• http//ncvhs.hhs.gov