Medicare Claims Processing Manual (Pub. 100-04), Ch. 24 § 80.4
HIPAA Transition Reporting
80.4 - HIPAA Transition Reporting
(Rev. 2803, Issued: 10-28-13, Effective: 09-17-13, Implementation: 09-17-13)
As new HIPAA versions are named, contractors are required to report their
implementation progress to CMS via transition reporting. Data collection will be
achieved via an external, secure web-based reporting tool designed to support long term,
short term, and ad-hoc data gathering efforts, such as Electronic Data Interchange
statistics and performance metrics.
The contractor shall obtain access to the web-based reporting tool via self enrollment
contingent on CMS approval. Current reports vary in frequency from weekly to monthly;
however, any future efforts will reflect the most appropriate time period. Contractors will
always be notified via Technical Direction Letter (TDL) on the required starting date of
any transition reporting, the content of the transition data, and the frequency of the
reporting effort.
Contractors will utilize the reporting functionality in their front end systems, in CEM, in
the Shared System Maintainer, and/or in CEDI to provide CMS with their EDI HIPAA
transition reports.