Glossary of Health Care and Medical Terms
In many cases,
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Health Insurance Portability and Accountability Act of 1996. Healthcare organizations were required to follow the privacy rule by 2003. The Health Reform act 2010 added fines and penalties for non-compliance. The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated the adoption of standard unique identifiers for health care providers and health plans. See NPI and NPPES. The purpose of the administrative provisions is to improve the efficiency and effectiveness of the electronic transmission of health information. HIPPA is also known as the Kennedy Kassebaum Act, K2, and is officially known as Public Law 104-191
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Also see: Health Insurance Portability and accountability Act
HIPAA 5010 is the latest version of proposed HIPAA’s transaction standards from the ASC X12 standards development organization. All physicians, other health care professionals, payers, and clearinghouses that submit HIPAA transactions will be required to use only the 5010 transactions as of the January 2012 deadline. This includes physicians who electronically submit administrative transactions, such as checking a patient’s eligibility, filing a claim, or receiving a remittance advice, either directly to a health insurance payer or through a clearinghouse.
The Administrative Simplification Compliance Act of 2001 (ASCA) required the use of electronic claims for providers to receive Medicare reimbursement. The current version of the standard current is Version 5010
HIPAA 835 Transaction is the edi standard transaction for Health Care Claim Payment /Electronic Remittance Advice (ERA)
Also see: HIPAA Transaction 835
HIPAA transaction 835 or HIPAA X12N 835 is the standard EDI transaction for Health Care Claim Payment Electronic Remittance Advice (ERA) transmissions to providers.
Also see: ERA , 835 Transaction, HIPAA 835
The Health Insurance Portability and Accountability Act–Administration Simplification (HIPAA–AS) requires covered entities to comply with the electronic data interchange standards for health care as established by the Secretary of Health and Human Services.