The health care reform plan issued by Senate Finance Committee chair Sen. Max Baucus (D-Mont.) calls for mandated adoption of "operating rules" that would significantly tighten the standards of HIPAA administrative/financial transactions. It also would increase the number of transaction sets.
The "operating rules" referenced in the plan are those developed under the voluntary CORE initiative under way for several years. CORE is the Committee on Operating Rules for Information Exchange within CAQH, a Washington-based payer advocacy group. The initiative seeks to build industry consensus on tightening of the HIPAA standards to facilitate health care financial/administrative transactions and offer more information to providers.
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