Question

Explain how HIPAA has changed how health care information is transmitted in EDI.

Describe the relationship between Electronic Health Records, reimbursement, HIPAA, and EDI transactions.

Answer 1

Way to change Health insurance Portability and Accountability act(HIPAA) health care information transformed into electronic data interchange.

The intent of Health Insurance Portability and accountability act and its are standard rules are used to improve the efficiency of the health care system.Electronic transmission is used to have privacy and security to prevent the fraud of the patient health information.The privacy or confidentiality law is planned to protect patient health Information for being used in any type.Other source HIPAA security law is used to safeguard and to ensure the respect and integrity of the patient secured health information according to the California department of veterans affairs 2013.

HIPAA standards for electronic data exchange transactions code are sent in place of procedure.The receiver can understand the content that was received. Both the receiver and sender should use same codes.HIPAA require two sets of codes that is ICD-9-CM for diagnosis and HC-PCS codes for outpatient procedures. These all regulations used to implement the data quality that can reduce handling time and eliminate the risk such as lost of paper document and can decrease the administrative cost.

Relationship between Electronic Health Record(EHR), reimbursement, Health insurance portability and accountability(HIPAA) and Electronic data exchange(EDI) transaction.

These all transactions are work together to deliver the better patient care.EHR is defined as the patient health information chart that can be seen by the authorized person. Patient information related to patient demographics,past medical and medication history, lab reports.Doctor and other healthcare providers can use information to help the patient treatment and diagnosis.

• Electronic health record is the patient and health information that is entered in computer by the authorized health care professional.
• HIPAA belongs to united states laws that is designed to provide privacy and secure the patient medical health record and other information that provided to health plans,hospitals.
• Reimbursement is when a patient is billed for the service that should not be billed and patient will receive a payment back for that amount.
• Electronic data exchange is that information was exchanged between the different facilities and the insurance.