HIPAA Simplified

Your online resource for healthcare regulations

Welcome to HIPAA Simplified

Welcome to HIPAA Simplified, the Change Healthcare one-stop portal for insight and guidance into healthcare administrative simplification regulations, timelines, program updates, and other initiatives at the forefront of the healthcare industry.

Change Healthcare recognizes the challenges of compliance mandates, and as an industry leader, we are committed to helping our healthcare partners seamlessly navigate the path to compliance. The Change Healthcare Commitment to Compliance provides assurance to our customers that applicable Change Healthcare products and services meet or exceed regulatory requirements.

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News & Updates

  • No Surprises Act

    • Part I Interim Final Rule Protects individuals from surprise medical bills for emergency services, air ambulance services provided by out-of-network providers, and non-emergency services provided by out-of-network providers at in-network facilities in certain circumstances.
    • Notice of Proposed Rulemaking Reporting Requirements Regarding Air Ambulance Services, Agent and Broker Disclosures, and Provider Enforcement.
    • Part II Interim Final Rule Outlines the federal independent dispute resolution process, good faith estimate requirements for uninsured (or self-pay) individuals, patient-provider dispute resolution processes for uninsured (or self-pay) individuals, and external review provisions.
    • No Surprises Act Overview and Solutions

  • ONC and CMS Publish Interoperability Final Rules

    • On January 17, 2024, CMS announced the final rule on Electronic Prior Authorization and Payer Interoperability APIs. With the new rule, CMS hopes to expand access to health information and improve the prior authorization process and modernize the health care system and reduce patient and provider burden by streamlining the prior authorization process. Click the learn more link below to see our summary of the rule and impact on prior authorization and interoperability.
      Learn more here.
    • On May 1, 2020, the ONC 21st Century Cures Act Interoperability, Information Blocking, and Health IT Certification Final Rule and the CMS Interoperablity and Patient Access Final Rule were published in the Federal Register. See our Change Healthcare Regulatory and Standards Quarterly Update, on this page, for details.