Share this page

Subscribe by Email

Your email:

  Request a Quote

Call for guest bloggers.

Medical Management Services seeks bloggers on the topics of HealthCare IT, billing EHR,EMR and more. Contact us. 

Free White Paper

"5 GUIDELINES to ENSURE the right EHR for your Practice!"


Free White Paper

"Hospital-Based Physician Management Strategies-Five Critical Considerations"

describe the image




Free White Paper

"The Self-pay Puzzle,11 Essential Pieces"


Free White Paper

"6 Tips for Maximixing your Practice Billing System"

6 Tips For Maximizing Your Practice Billing System

Free White Paper

"10 Steps to Successfull Billing: Version 2012"


Free White Paper

"5 Revenue Cycle Essentials" 


Free White Paper

"Managing Newly Acquired Physician Groups"

down load in box

Free White Paper

"The No Show Dilemma"

download cta

Free White Paper

"Physicians are not just another hospital department-The Final Four!"

physician management

Medical Practice Management Blog

Current Articles | RSS Feed RSS Feed

New ACA administrative simplification rules go into effect Jan. 1


ObamacareStarting Jan. 1, health plans will be required to support new operating rule standards for insurance eligibility verification and claim status electronic transactions. Once implemented, physician practices are expected to see significant savings through increased efficiency. These operating rules and other administrative simplification requirements were included as part the Affordable Care Act of 2010 (ACA) and were developed by the Council for Affordable Quality Healthcare Committee on Operating Rules for Information Exchange (CAQH CORE). MGMA staff and members participate in CAQH CORE.


The new operating rules will provide greater uniformity of information and transmission formats so that practices can use one type of request for all insurers rather than being required to use multiple systems. In addition, under the new rules, practices will get a more detailed response when they ask about the status of a claim they have submitted to a health plan.


To prepare for these new operating rules, practice administrators should reach out to their practice management system software vendors to determine if their current software can take advantage of these operating rules and other ACA administrative simplification standards such as electronic funds transfer and electronic remittance advice.


Read more about operating rules or see the CMS administrative simplification resources.

Original article posted by MGMA Washington Connexion 11/14/2012


Currently, there are no comments. Be the first to post one!
Post Comment
Website (optional)

Allowed tags: <a> link, <b> bold, <i> italics

Medical Management Services Located at 8333 N Davis Hwy, Pensacola, FL. Phone: 877-521-3198.