How to Conduct a Risk Assessment for a Healthcare Organization Conducting a risk assessment is a foundational step in protecting sensitive patient information and ensuring HIPAA compliance for any healthcare organization. A well-executed risk assessment helps identify vulnerabilities in systems, processes, and workflows that could expose Protected Health Information (PHI) to unauthorized access, loss, or … Read More →
How to Become HIPAA-Compliant: A Practical Guide for Healthcare Organizations The Health Insurance Portability and Accountability Act (HIPAA) sets national standards for the protection of sensitive patient health information (PHI). For any healthcare body – whether a hospital, clinic, pharmacy, or insurance provider – becoming HIPAA-compliant is essential to avoid legal penalties, protect patients’ trust, … Read More →
Understanding HIPAA EDI Implementation Acknowledgment EDI stands for effective communication between providers, payers, and clearinghouses, but it relies heavily on the correct exchange of standardized data. How do you know if your EDI file was received and processed correctly? That’s where the EDI Implementation Acknowledgment, also known as the 999 transaction, plays a critical role. The … Read More →
Post-Adjudicated Claims Data Reporting: Enhancing Healthcare Insights Through EDI Post-adjudicated Claims Data Reporting serves as a vital process that enables health plans and public health entities to analyze, audit, and improve healthcare delivery based on already-processed claims. Unlike claims in progress, post-adjudicated data refers to claims that have gone through the full adjudication cycle—meaning they’ve … Read More →