HIPAA-compliant code sets
HIPAA requires specific code sets. Network Health complies with the requirements by:
- Terminating the use of non-compliant billing codes
Network Health has implemented HIPAA-compliant codes that represent equivalent services. The terms of current provider agreements will remain in effect regardless of changes in the codes used for billing purposes unless HIPAA-compliant codes substantively change the services provided.
- Communicating in writing with all Network Health participating providers regarding HIPAA-compliant billing code changes
In addition, Network Health is communicating with specific providers where HIPAA code compliance significantly alters services.
Download a list of non-compliant codes and their HIPAA-compliant equivalents: