If you’re not sure whether you’re a covered entity (CE) and privy to the HIPAA Administrative Simplification provisions, Medicare can help.
Lowdown: The Centers for Medicare & Medicaid Services (CMS) offers individuals and organizations the opportunity to determine their CE status with a decision tree. The online tool guides healthcare providers, plans, and clearinghouses through a series of questions about Administrative Simplification requirements and HIPAA while assisting them with the CE determination. Utilize the tool at www.cms.gov/Regulations-and-Guidance/Administrative-Simplification/HIPAA-ACA/Downloads/CoveredEntitiesChart20160617.pdf.