The HIPAA Act was an endeavor to make a more meaningful use of the electronic medical record system and ensure that all health information was protected and accounted for. The HIPAA laws and guidelines are now a mandate that every healthcare organization needs to comply with. HIPAA laws need to be strictly followed to the word and can even attract penalties such as jail if breached.
Submitting claims has become easy due to Electronic Data Interchange (EDI) transactions. It helps providers in effectively managing their practices. Submitting claims through EDI has some requirements. Here is a low-down on what it is all about.
In 1996, the U.S congress enacted the Health Insurance Portability and Accountability Act (HIPAA). HIPAA established national identifiers for health insurance plans, health providers and employers. National standards regarding electronic health care transactions were also put into place. The HIPAA 837 Transaction is aimed at simplifying claim submission and standardizing the process across North America. Read on to know more.
While deploying HIPAA can provide some obvious benefits such as reduced errors, increased process speed, reduced costs and better relationships with partners, there have been considerable security concerns with the HIPAA compliance, of late. It’s important for medical service providers to not only comply with the HIPAA regulations but also ensure the safety of the patient information. The following article provides 5 tools to help achieve HIPAA compliance while maintaining the highest security levels for the information stored.
HIPAA code set standards and transactions aim to simplify the processes associated with the payment of healthcare services and reduce the costs thereof. These code sets take place of any location specific or payer specific requirements or formats thereby making all patient related healthcare services information accessible easily. While there are many types of HIPAA Transaction sets, this article aims to speak about the HIPAA EDI 837 Transaction set in particular. Read on to know.
HIPAA transaction service providers bring solutions for healthcare users to simplify their compliance problems, manage their documentations, and protect their privacy and security, and much more. The article below lists top five providers in the USA.
The HIPAA Claim Master is an advanced software application for electronic healthcare claims. It gives you complete control over every aspect of the HIPAA 837 transaction. The HIPAA Claim Master can export each claim to practically any ODBC aware database such as Microsoft SQL Server, Oracle or MySQL or even Microsoft Access. The claim data is then accessible to your applications. The claim image can be recreated from the database. Visit: http://www.hipaasuite.com/HIPAAClaimMaster
HIPAAsuite Complete, our all-in-one HIPAA software solution is being retired. HIPAAsuite was written in VB6, a computer language that was last released in 1996 and is not supported anymore. Over the last few years we completely rewrote the individual parts of HIPAAsuite in C# and the Microsoft .Net framework. Visit: http://www.hipaasuite.com/HIPAAsuiteComplete
EDI Exchange is our EDI front end application. It will work with all our products and only 1 license is needed per computer. EDI Exchange is not a stand-alone product. It comes with each of HIPAAsuite's products and has to be licensed separately. One EDI Exchange license works for all installed products.
The HIPAA Authorizer is HIPAAsuite's module for the X12 278 Transaction Set (Requests for Authorization and Services Review).This transaction set is used to convey healthcare services authorizations between provider, a utilization management organization and payers. The HIPAA Authorizer has two modes
Often a provider would like to know the payment status of claims. The X12 276/277 EDI transaction set has been designated to transmit such claim status information electronically. Typically a provider would create a 276 claim status request containing the basic information on a claim that has been submitted previously.
The HIPAA Claim Master is an advanced software application for electronic healthcare claims. It gives you complete control over every aspect of the HIPAA 837 transaction. For more information visit: http://www.hipaasuite.com/HIPAAClaimMaster
Often a provider would like to know the payment status of claims. The X12 276/277 EDI transaction set has been designated to transmit such claim status information electronically. Visit: http://www.hipaasuite.com/276-claim-status-checker/hipaa-claim-status-checker
The HIPAA Authorizer is HIPAAsuite's module for the X12 278 Transaction Set (Requests for Authorization and Services Review).This transaction set is used to convey healthcare services authorizations between provider, a utilization management organization and payers. The HIPAA Authorizer has two modes, for more details visit: http://www.hipaasuite.com/HIPAAAuthorizer
HIPAA Claim Payment Master displays the information from the electronic payment record & enters it into the system.
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