GLN_HIPAA

GLNs in hospitals and other clinical locations Hospitals and other clinical locations trade with multiple industries, for example, medical, diagnostic, hospitality, cleaning, office supplies and more. In addition, these organizations can perform multiple functions, for example, a pharmacy or inpatient hospital ward may also be a clinical trial site. A given GLN can be used Read More →

HIPAA EDI

HIPAA EDI (Health Care EDI) Webinars Details and Price Designed for Health Care industry this intensive six-webinar class covers all 9 Health Care EDI Transactions. The course instructors have at least 15 years of Health Care EDI experience and are typically EDI managers at insurance companies, hospitals, clearinghouses and other health care organizations. The target Read More →

GS1 US

GS1 US Rx EPCIS Conformance Testing Program Members of the U.S. pharmaceutical industry have been preparing their systems and business processes to meet Drug Supply Chain Security Act (DSCSA) requirements. Many in the U.S. pharmaceutical industry have chosen to use Electronic Product Code Information Services (EPCIS) to support their DSCSA data exchange implementation, which enables trading partners Read More →

EDI Process Flow

EDI Process Flow At Veterans Health Administration (VHA) EDI Process Flow above flowchart represents the path that electronic claims follow at Veterans Health Administration (VHA). The objective of electronic billing is to submit completely correct claims. Claims sent electronically reach the payer faster, are processed faster, and are paid faster than claims submitted to the Read More →

Traceability In Healthcare

GS1 Healthcare Case Study: Improving patient safety through traceability initiative Sanatorio Güemes is a 522-bed private hospital in Buenos Aires, Argentina, that has established best practices regarding patient safety and quality of care. The hospital has implemented processes and policies to enable electronic medical records and improve inventory management, and are meeting many requirements of the National Read More →

GS1 Standards

Transformation with GS1 Standards: Franciscan Missionaries Case Study The Franciscan Missionaries of Our Lady Health System (FMOLHS) is a non-profit healthcare system serving more than half of Louisiana’s population. Challenged by the rising costs and growing complexity of delivering quality healthcare, FMOLHS needed to improve its operational efficiencies, control costs, and remain focused on what mattered most—the Read More →

Health Care EDI

Health Care EDI Real World Practice: HIPAA Compliance And Deviations Health Care EDI is one of the branches where Electronic Data Interchange accelerates information exchange, reduces manual interruption and provides processing reliability and security. Health Care EDI operates under the rules of HIPAA – standard that states requirements to health care electronic transactions. HIPAA concerns health care Read More →

GS1 Digital Link

GS1 Digital Link Barcoding: A Product’s Unique Identity GS1 Digital Link helps barcodes and other data carriers become web links – connecting a product’s unique identity to online sources of real-time information that brands control. The GS1 Digital Link standard extends the power and flexibility of GS1 identifiers by making them part of the web. This Read More →

Clean Claim Requirements

Clean Claim Requirements (Cigna vendors) Clean Claim Requirements were developed with the goal to process all claims at initial submission. Before Cigna can process a claim, it must be a “clean” or complete claim submission, which includes the following information, when applicable: primary carrier explanation of benefits (EOB) when Cigna is the secondary payer prescription for physical Read More →

Pharmaceutical EDI Data Integration

Pharmaceutical EDI Data Integration capabilities at McKesson Pharmaceutical EDI Data integration enables configurable pharmaceutical product and data sharing between pharmacy management systems, provider information systems and enterprise resource planning (ERP) systems. McKesson provides data interface solutions for pharmacy customers who are unable to support direct, automated electronic data interchange (EDI) through McKesson Data Exchange module. Solutions allow Read More →