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Legislation Requires Development of Standards and Protocols for Electronic Enrollment, and Eligibility Notification and Verification



New health reform legislation requires the U.S. Department of Health & Human Services to develop interoperable and secure standards and protocols to facilitate the enrollment of individuals in federal and state health and human services programs. The new standards and protocols may affect how healthcare providers conduct health plan eligibility verification transactions standardized under HIPAA, as well as how providers comply with the Medicare and Medicaid electronic health record incentive programs' "meaningful use" objectives and measures pertaining to use of an EHR for electronic insurance eligibility verification.
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