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02/27/04
CMS Slows Legacy Claims Payment in Push for HIPAA TCS Compliance


CMS Slows Legacy Claims Payment in Push for HIPAA TCS Compliance The Centers for Medicare & Medicaid Services (CMS) on Feb. 27 instructed Medicare carriers and fiscal intermediaries pay electronic claims that are not HIPAA-compliant no earlier than 27 days after receipt. Medicare currently pays electronically submitted claims no earlier than 14 days after receipt. CMS ordered the slowing down of payments on "legacy" claims as "a measured step toward ending the contingency plan completely." The new payment structure, intended to encourage HIPAA transactions and code sets (TCS) compliance as soon as possible, has an implementation date of July 6.