CMS EDI

CMS Operating Rules EFT and Remittance Advice Operating rules for the EFT and ERA transactions (CMS – Centers for Medicare & Medicaid Services) went into effect on January 1, 2014. To understand the operating rules it is important to be familiar with the two transactions: What is an Electronic Funds Transfer (EFT)? An electronic funds transfer, or EFT, Read More →

Medicare

Centers for Medicare & Medicaid Services Adopted Standards and Operating Rules HIPAA required HHS (Department of Health & Human Services) to establish national standards for electronic transactions to improve the efficiency and effectiveness of the nation’s health care system. These standards apply to all HIPAA covered entities: Health plans Health care clearinghouses Health care providers who conduct electronic Read More →

HIPAA Rules Checklist

HIPAA Rules Checklist For Basic Audit HIPAA compliance is crucial for protecting patient privacy, maintaining legal and regulatory obligations, preventing data breaches, and fostering trust and confidence in the healthcare system. Compliance helps ensure that patients receive quality care in a secure and confidential environment, which is essential for promoting better health outcomes and patient Read More →

HIPAA 5010 Version

HIPAA Version 5010 Health Insurance Portability and Accountability Act HIPAA 5010 refers to the version 5010 of the Health Insurance Portability and Accountability Act (HIPAA) electronic transaction standards. HIPAA 5010 sets the standards for electronic health care transactions in the United States. These standards are designed to improve the efficiency and effectiveness of the health Read More →