| Healthcare Focus Areas - EDI Transactions HIPAA |
| With a tremendous interchange of information between resources, the security measures that enable the interchange of information are guided by the HIPAA. |
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| Below mentioned are some features of the EDI transactions through HIPAA |
| Features |
| Binary Spectrum helps professionals in healthcare organizations realize the vision of gaining access to the information they need, when they need it and in a cost effective fashion. Binary Spectrum is committed to ensuring rapid return on IT investments while preserving the flexibility you need to deal with the ever-changing financial and regulatory requirements of the healthcare industry. |
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Links to those Chapters of the Medicare Claims Processing Manual (pub.100-04) that contain further information on these types of transactions. |
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Health Insurance Portability and Accountability Act (HIPAA) contingency plans. |
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The Administrative Simplification Compliance Act (ASCA) requirement that claims be sent to Medicare electronically as a condition for payment. |
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How you can obtain access to Medicare systems to submit or receive claim or beneficiary eligibility data electronically. |
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EDI support furnished by Medicare contractors. |
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| The information is projected for the use of health care providers, clearinghouses and billing services that submit transactions to or receive transactions from Medicare fee-for-service contractors. |
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| EDI is the automated transfer of data in a specific format following specific data content rules between a health care provider and Medicare, or between Medicare and another health care plan. |
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| In some cases, that transfer may take place with the assistance of a clearinghouse or billing service that represents a provider of health care or another payer. |
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| EDI transactions are transferred via computer either to or from Medicare. Through use of EDI, both Medicare and health care providers can process transactions faster and at a lower cost. |
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