Electronic Data Interchange impact on data accuracy and compliance in healthcare EDI (Electronic Data Interchange) significantly influences data accuracy and compliance in healthcare through several mechanisms. Let’s look and describe each of them. Adherence to Regulatory Standards EDI ensures that data exchanges comply with regulatory standards, such as HIPAA (Health Insurance Portability and Accountability Act) in … Read More →
EDI: Streamlining and automating the exchange of information in Healthcare Revenue Cycle Electronic Data Interchange (EDI) plays a critical role in the healthcare revenue cycle by streamlining and automating the exchange of information between healthcare providers, payers, and other entities. Key contributions of EDI to the healthcare revenue cycle Claims Submission: EDI facilitates the electronic … Read More →
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 →
HIPAA EDI Standard History EDI is the process of using nationally established standards to exchange electronic information between business entities. These national standards are developed and maintained by a group of standards development organizations (SDOs), such as the Accredited Standards Committee (ASC) X12 and the National Council of Prescription Drug Programs (NCPDP). The Department of Health … Read More →