HIPAA Risk Assessment for Covered Entities and Business Associates The requirement for Covered Entities and Business Associates to conduct a HIPAA risk assessment is not a new provision of the Health Insurance Portability and Accountability Act. The requirement was first introduced in 2003 in the HIPAA Security Rule (45 CFR § 164.308 – Security Management Process), … Read More →
Optimizing the revenue cycle in healthcare with electronic data interchange (EDI) EDI In the Healthcare Revenue Cycle means streamlining processes to improve efficiency, accuracy, and speed of transactions. Let’s look at the steps which will help to optimize the revenue cycle using EDI. Automate Data Entry: Implement EDI systems to automate data entry for claims, payments, and other … Read More →
835 and 837 Files Frequently Asked Questions The 835 and 837 transactions form the backbone of electronic data interchange in healthcare finance, facilitating seamless communication and transaction processing between payers and providers. Let’s take a look at the Frequently Asked Questions about 835 and 837 HIPAA transactions. What is the main issue with healthcare claims and remittance? … Read More →
HIPAA EDI 835 And 837: The difference between two healthcare transactions An 835 transaction, also known as Electronic Remittance Advice (ERA), is used by healthcare payers to provide detailed information about payments, adjustments, and denials to healthcare providers. An 837 transaction, also known as Healthcare Claim, is used by healthcare providers to submit claims for reimbursement to … Read More →