Health Care EDI Online Trainings – Learn Easy On Your Schedule Health Care EDI Online Trainings provide easy access to up-to-date and cost-effective HIPAA EDI skills seminars designed for remote learning. Health Care EDI Online Trainings support individualized learning with beginner to advanced learning classes. EDI Academy experts curate content into series of courses on dozens of topics, so Read More →

Noridian Electronic Remittance Advice Basic Guides Noridian Electronic Remittance Advice (ERA) is the electronic version of the Standard Paper Remit (SPR), which serves as a notice of payment and adjustments sent to Noridian providers, billers and suppliers. It explains the reimbursement decisions of the payer. EDI Support Services (EDISS) defines a vendor as a Software Read More →

HIPAA EDI Training – Educational Event For Healthcare Professionals HIPAA EDI Training will be conducted by the EDI Academy in Los Angeles-LAX, CA, on October 10-12. You are welcome to thetraining to refresh your health care EDI knowledge and get more HIPAA practice at the advanced workshop.  HIPAA EDI Training Agenda Implementation and best practices of the Read More →

Electronic Remittance Advice Basic Guides Electronic Remittance Advice (ERA) is the electronic version of the Standard Paper Remit (SPR), which serves as a notice of payment and adjustments sent to providers, billers and suppliers. It explains the reimbursement decisions of the payer. The Electronic Remittance Advice provides the same information as a paper advice, and, Read More →

Noridian EDI Claims Submission General Information Noridian EDI Claims Submission is the best way to reach effectiveness for thousands of submitters across multiple lines of business. Electronic Data Interchange (EDI) provides the ability to quickly and efficiently exchange healthcare information (including Noridian EDI Claims Submission processing) in a safe, secure and cost effective way. Submitters wishing Read More →

ICD-10 Coding – AHA Central Office Policy ICD-10 Coding (International Classification of Diseases) is the standard known as the 10th edition using Clinical Modifications (CM) and the Procedure Coding System (PCS). The final rule adopts ICD-10-CM for reporting patient diagnoses and ICD-10-PCS for reporting hospital inpatient procedures – both replaced ICD-9-CM. The use of ICD-10-CM and ICD-10-PCS Read More →

EDI HIPAA UB-04 Claims Procedures (Security Health Plan) EDI HIPAA UB-04 Claims processing procedures: EDI HIPAA UB-04 Claims completion for inpatient and outpatient services billed by hospitals, skilled nursing facilities, home health agencies and other institutional providers (Continuation). 76. Attending physician ID – The name and/NPI of the licensed physician who normally would be expected to certify and Read More →

EDI Medical UB-04 Claims Procedures (Security Health Plan) EDI Medical UB-04 Claims processing procedures: EDI Medical UB-04 Claims completion for inpatient and outpatient services billed by hospitals, skilled nursing facilities, home health agencies and other institutional providers (Continuation). 66. Diagnosis code qualifier – This reflects which ICD-9 edition used – Not required. 67. Principal diagnosis code – The Read More →

ICD-10 CM/PCS Procedure Basics And KPI Assesment ICD-10 CM/PCS (International Classification of Diseases, 10th Edition, Clinical Modification/ Procedure Coding System) consists of two parts: ICD-10-CM (diagnosis coding) was developed by the Centers for Disease Control and Prevention for use in all U.S. health care settings. Diagnosis coding under ICD-10-CM uses 3 to 7 digits instead of the 3 Read More →