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 →

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 →

Prevea360 ASC X12 Acknowledgments

Prevea360 ASC X12 Acknowledgments And Additional Reporting Prevea360 will produce a Response Acknowledgement TA1 and Implementation Acknowledgement 999 for every 834 file received. Both of these are placed within the sponsor/trading partners /999 FTP folder for transaction acceptance review. The TA1 Response Acknowledgement will indicate that the file was successfully received as well as indicate what Read More →

HIPAA EDI

Functional Grouping and Transaction Set File Structure Options (Prevea360 Partner Guidelines) Prevea360 is able to process different variations of transaction sets. Option 1 is the most commonly received structure and is acceptable for files with up to 8000 members. Option 1 (All INS in one ST/SE) Due to system limitations, Prevea360 is unable to process files Read More →

EDI Security

EDI Security-Related Requirements for A/B MACs and CEDI Arrangements With Clearinghouses and Billing Services (Part 1) A billing service is an entity that markets claim preparation services to providers and should also be able to perform related transactions for providers, such as eligibility and claim status inquiries. The billing service collects a provider’s claim information and Read More →

HIPAA Security

HIPAA Security Requirements For Medicare Trading Partners A/B MACs, DME MACs, CEDI, and other entities contracting directly with CMS are considered service providers to CMS. As such, these entities are part of CMS’ system security boundary and must be in compliance with the Federal Information Security Management Act (FISMA) and are subject to CMS security Read More →

HIPAA Transaction Standards

HIPAA Transaction Standards as Designated by CMS HIPAA transaction standards shall be supported by the A/B MACs, DME MACs, CEDI or other contractors if designated by CMS for the electronic data with Medicare providers/submitters/receivers/COB trading partners. ASC X12 Technical Report 3s (TR3s) for mandated HIPAA transactions may be purchased from the official Washington Publishing Company Read More →