HHS Optimization Pilot Results

The Centers for Medicare & Medicaid Services (CMS) Division of National Standards (DNS), on behalf of the Department of Health and Human Services (HHS), has recently completed the Optimization Pilot, a small-scale effort to recruit volunteer health plans and clearinghouses to submit HIPAA standard transactions to HHS for compliance testing. HHS initiated the Optimization Pilot in preparation for the full-scale Compliance Review Program.

Among pilot participants, the most common violations involved transaction standards. Types of violations, from the most to the least frequent, were:

1. Transactions (42)
2. Code Sets (15)
3. Unique Identifiers (14)
4. Operating Rules (3)
   

Read the full Information Bulletin on the Go-to-Info page for more information.

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