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Clinical Social Work Practice Tools: HIPAA

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Practice Bulletin - Medicare Ends Contingency Plan For Non-HIPAA Compliant Reimbursement Claims

Mirean Coleman, MSW, LICSW, CT

Aug 12, 2005

Effective October 1, 2005 , Medicare will not process electronic claims submitted for payment that are not HIPAA compliant. Electronic claims that do not meet the electronic format will be automatically rejected and returned to the clinical social worker. This does not pertain to paper files.

HIPAA Electronic Codes For Clinical Social Workers In Private Practice

Mirean Coleman, MSW, LICSW, CT

Oct 16, 2003

Effective October 16, 2003 the HIPAA Electronic Standards and Code Sets have been implemented. Clinical social workers in private practice and other health providers who transmit and/or receive patient health information electronically are required to be in compliance. However, on September 23, 2003 the Centers for Medicare & Medicaid Services (CMS) announced a contingency plan to accept noncompliant electronic transactions after October 16, 2003.

HIPAA ToolKit

NASW Legal

This toolkit contains a comprehensive compilation of sample policies and forms necessary for HIPAA compliance that can be adapted to a specific social work practice setting.