Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

Explain how using edi facilitates electronic transactions in healthcare

07/01/2021 Client: saad24vbs Deadline: 3 days

Table of Contents What is Electronic Data Interchange (EDI)? 2 Example of EDI: 2 How does using EDI facilitate electronic transactions in healthcare? 3 Example of the Benefits of EDI: 3 How has HIPAA changed how healthcare information is transmitted in EDI? 4 Example of HIPPA/EDI: 4 What is the relationship between Electronic Health Records, reimbursement, HIPAA, and EDI transactions? 5 Example of HIPPA/EDI Claim Transaction 5 References 6


What is Electronic Data Interchange (EDI)?

Electronic Data Interchange is a way to transmit data between different computer systems. EDI is the standard designated by HIPAA to exchange patient data.


EDI systems effectively eliminates the need to print, file, store, post and retrieve paper documents which is more cost efficient in the doctor’s office. The goals for the future is to completely get rid of paper records. This will then have everyone working with the same systems so that all of our information is processed and read easily. This will help us provide better and quicker care for our patients.


Some doctors that have been using the EDI system, often find it more difficult to use then paper, but converting to the system means that it will pay dividends in the end.


Example of EDI:



(Kavidayal, 2015)


How does using EDI facilitate electronic transactions in healthcare?

· Manual data entry and processing is reduced


· Improved data quality


· Elimination of contrasting forms and codes


· Improved cash flow


· Improved accuracy of information


· Fewer rejections of claims


· Cost savings (paper, postage, labor)


· Less billing errors


· Improved accuracy, reliability and usefulness of shared information


· Improved patient service


· Prevents errors that could lead to allegations of fraud and abuse


· Minimizes the risk of penalties


· Staff stress is reduced


Example of the Benefits of EDI:



(Admin, 2015)


How has HIPAA changed how healthcare information is transmitted in EDI?

First let’s explain HIPPA. The Health Insurance Portability and Accountability Act (HIPPA) was enacted in 1996. An important feature of HIPAA is the national standards for electronic health care transactions. These standards are meant to improve the efficiency of the healthcare system in the U.S. By doing this we are boosting the widespread use of the EDI system here in the U.S.


“Standards for Electronic Transactions (EDI) and Code Sets The HIPAA transactions standards clearly set forth a special role for healthcare clearinghouses to provide services to translate electronic data that is not in the HIPAA-dictated format into standardized data that complies with the HIPAA-dictated formats (referred to as the X12 format). National Information Services (NIS) has provided customers with this "translation" service as part of our electronic claims service before the compliance date of October 16, 2002. Stringent testing and evaluation of electronic claims transmissions by Claredi resulted in full certification that all claims transactions and protocols were compliant with all electronic transaction and code set requirements mandated by HIPAA” (HIPPA, 2009).


Now I know you’re thinking, “that is great to know but what are the code sets?” Code sets are medical codes that have been approved by HIPPA. Examples of codes sets are, ICD-9-CM, National Drug codes, the common coding system for healthcare, current dental terminology, and so forth and so on.


Example of HIPPA/EDI:



(Villanueva, 2013)


What is the relationship between Electronic Health Records, reimbursement, HIPAA, and EDI transactions?

First let’s give definitions for all of these. From the beginning you already know what EDI transactions are. Electronic Health Records (EHR) are an electronic version of a patient's chart. EHRs are there to make the information available instantly to authorized users such as doctors and nurses. HIPPA was explained in the last page. Reimbursement means that it is a method of payment for medical treatment or hospital costs. This is usually done by a third party.


So now that has been explained I am going to tell you the relationship between all of these. First when you go to the doctor all of your patient information is now in a database and what comes up on a computer screen is your Electronic Health Record. This information contains everything from what you were there for that day, to any prescriptions that you are taking. It can also include any radiology reports that you might have needed in the past. Because of HIPPA these records are safe and secure. Also now because of HIPPA we have EDI transactions. Specifically, EDI claim transactions.


Now if you get a “bill” in the mail from your insurance provider with a list of items that you have to pay for or what your insurance has paid for. While you are looking through this “bill”, you may see an item or two that you know is supposed to be covered by your insurance. That is where the EDI claim transactions come into play. You get a hold of your insurance provider and they then file an electronic claim submission. This is now a faster, and easier way to submit claims. Because of your claim being filed this way, if the insurance provider agrees that they should have paid for a service, then you will be reimbursed for that service.


Example of HIPPA/EDI Claim Transaction



(Brown, Kelly, & Querusio, 2011)


References

Admin. (2015, July 20). The benefits of using EDI in your organization . Retrieved from Expert Fortran – Latest Information about Software and PC Programs: http://www.expertfortran.com/the-benefits-of-using-edi-in-your-organization


Brown, P., Kelly, J., & Querusio, D. (2011, May/June). Toward a Healthcare Business-Process Reference Model. IT Professional, 13(3), pp. 38-47. doi:doi:10.1109/MITP.2010.65


HIPPA. (2009). Retrieved from National Info: http://www.nationalinfo.com/hippa.asp


Kavidayal, S. (2015, July 07). Electronic Data Interchange in Healthcare. Retrieved from Linkedin: https://www.linkedin.com/pulse/electronic-data-interchange-healthcare-swati-kavidayal


Villanueva, J. C. (2013, September 03). Securing HIPAA EDI Transactions with AS2. Retrieved from JScape: http://www.jscape.com/blog/bid/101188/Securing-HIPAA-EDI-Transactions-with-AS2


Page | 1

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

Helping Hand
Top Essay Tutor
University Coursework Help
Writer Writer Name Offer Chat
Helping Hand

ONLINE

Helping Hand

I am an Academic writer with 10 years of experience. As an Academic writer, my aim is to generate unique content without Plagiarism as per the client’s requirements.

$60 Chat With Writer
Top Essay Tutor

ONLINE

Top Essay Tutor

I have more than 12 years of experience in managing online classes, exams, and quizzes on different websites like; Connect, McGraw-Hill, and Blackboard. I always provide a guarantee to my clients for their grades.

$65 Chat With Writer
University Coursework Help

ONLINE

University Coursework Help

Hi dear, I am ready to do your homework in a reasonable price.

$62 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

Safe work method statement for lawn mowing - Between 1879 and 1880, an estimated 40,000-60,000 african-americans migrated to - David's mighty men of valor - History answers to all questions - Astable multivibrator using 555 timer calculator - Bs o ring sizes - MTH/110 Week 2 Discussion - Thinking for yourself marlys mayfield free pdf - Baseline Self-Evaluation - Dew point and cloud formation lab - White duck quarter exterior - Will provide upon request - Art/discussion - Pbv trunnion ball valves - Wk 1 assign 6053 - Week 1 Project - Lehigh custom fit me pepsi - Optiplex 745 ultra small - Growth pole theory in regional planning ppt - Regent house surgery chorley - 02.11 carousel of progress post-test - Paralyzed veterans of america donation address - Business Purpose Analysis - Health Organization Evaluation - Aligned learning activities and differentiation elm 210 - What does the bible say about abnormal behavior - Briefly summarize the parable of the sower from mark 4 - Ecosystem in a bottle analysis - Romeo and juliet act 2 study guide answers - Technical support consultant job description - Naked statistics sparknotes - Example of mental set psychology - Measurement Instruments - Earnest pugh net worth - The pedestrian literary response and analysis answers - 50cc scooter engine diagram - Mind brain and behaviour 2 and 1 - Australian cultural orientation program - Summer biz prize bond result 200 powersearch - We read to know that we are not alone - Way2 knowledge portal quotes - Fisher's plsd test - Computer science department ucl - Waitrose way awards 2014 - An aptitude for a job implies a - IT question - All logic gates and truth table - Sra lugones el pollo asado por favor - Discovering physical geography pdf - Strategic plan part 2 swot analysis paper - Exam timed - Walmart supply chain management case study - Quantitative Analysis for Decision Making - Tuberculosis screening - Advanced PC Applications - Englishforeveryone org answer key - Worldwide Paper Case - Activities for Writing Assignment - Send past tense sentences - North walney primary school - General motors ppt - Light and plant growth virtual lab journal answers - Bath and body works supply chain - Math 533 project part b - Lfsr random number generator - Is a paperclip a conductor - How does macbeth kill banquomonaro pioneers settlers database - Allusion in greek mythology - Pythagoras shorter side calculator - Relationship between gold and oil - Mohegan tribe kevin brown red eagle - 110 bus route cairns - Dunkin donuts district manager essay - Deliverable 3 - Art Event for Workplace Colleagues Competency - Epworth camberwell sleep unit - Trevor noah springboks - Parmalat scandal case study - Wave on a string simulation answers - Social skills self assessment - 2.05 bill of rights email - 3 weaknesses of the articles of confederation - Jcpenney fair and square pricing strategy case study - Kettle reboiler design calculation - Avaya 9611g quick user guide - Small town throwdown tattoo girl - How important is it to trace costs appropriately explain - Internet for it governance planning - Discussion - Face shovel vs backhoe - Examples of noncash investing and financing activities - How much does erin andrews make per year - Wasi 2 sample report - Durham english literature reading list - Miami regional university federal school code - Article Review Assignment - Is nudie juice pasteurised - Searle v wallbank 1947 ac 341 - Consumer behaviour case study questions - Discussion Board due Wednesday 10.28.2020 @ 3PM EST - Why is the topic of heart disease and stroke so important? What disparities are involved?