HIPAA EDI Rule

HIPAA: Electronic Data Interchange (EDI) Rule (ASHA) The EDI rule is very technical and based on the X12N EDI data transmission protocol standard. Although rare allowances are made, the rule requires that any covered entity who electronically transmits data must use this, and only this format in doing so. The EDI rule is a set Read More →

Administrative Simplification Compliance Act

Administrative Simplification Compliance Act Basics Section 3 of the Administrative Simplification Compliance Act (ASCA), Pub. L. 107-105 and the implementing regulation at 42 CFR 424.32, require that all initial claims for reimbursement from Medicare be submitted electronically, with limited exceptions. The ASCA amendment to section 1862(a) of the Social Security Act prescribes that “no payment Read More →

CGS EDI

CGS EDI: Benefits For Partners There are advantages to providers who conduct business with Medicare electronically. Some of those benefits include: No more paper claims. EDI (submitting claims to CGS electronically eliminates paperwork, so your staff can accomplish more in less time). You will also save money on postage and claim forms. Earlier payment floor. Electronic Read More →

EDI Custom Training

EDI Custom Training: Personal Opportunities For Businesses Custom training provided by EDI Academy is a possibility to educate your staff at a group training. Training classes give a foundation of practical knowledge about Electronic Data Interchange and how EDI applies specifically to your business. We start with the basics and then focus in on issues Read More →

Barcoding EDI

Barcoding and Global GS1 Standardization World business communications count a hundred thousand different companies and organizations. Doing common worldwide business demands general rules and directives that help many companies reduce inter-industry problems. Global standards provide common language of information exchange, identification and business rules. Due to this, companies can cooperate in some vital points that Read More →

EDI Mapping

EDI Mapping Notes: Learn Useful Tips The content of the data and the format of the data have to make sense to the mapper.  If the mapper feels that the input or the output format of the data is unreasonable (e.g. too much unnecessary data) then the mapper should make the case for this concern and Read More →

HIPAA EDI Online

How EDI Works: Discovering The Advantages How EDI Works? This is a popular question usually asked by business owners, company managers, operational staff at EDI Academy trainings. Although EDI is quite widespread technology, there still remain some points to be discussed. Those who are not connected to electronic data interchange not always understand the difference Read More →

IP Address

IP Address Definition and Types IP address (Internet Protocol address) is identified as a unique address for computing devices (personal computers, smartphones, tablets etc.) and serves for communication in the IP network. This means that any device that is connected to the IP network must be identified as an entity and have its unique IP. Read More →

ANSI encoding

ANSI Format: a “doubled” modification of former ASCII ANSI Format was developed by The American National Standards Institute and presents itself as a Microsoft-related standard for character set encoding. Also ANSI Format serves as a modified ASCII (the American Standard Code for Information Interchange) character set. If we compare the ASCII code and the ANSI Read More →

Correct Billing Procedures

Health Partners Plans Correct Billing Procedures Health Partners Plans has identified the most common electronic errors that occur and compiled a list of helpful hints. All Health Partners Plans (Medicaid) claims must be submitted with the Member’s 9 digit Health Partners Plans ID number. All Kidz Partners (CHIP) claims must be submitted with the 10 digit Read More →