Healthcare EDI (Electronic Data Interchange) has been used for decades. Payers use healthcare EDI to determine healthcare coverage and verify benefits. EDI is as important as several other data exchange formats in the healthcare industry. Healthcare EDI has transformed the healthcare industry, manufacturing, and supply chain.
So what is healthcare EDI?
Healthcare EDI is a way for healthcare organizations to exchange data to and from external systems and entities. Instead of preparing such data manually and risking errors in data, and possible data theft, electronically preparing and transmitting data and electronic data interchange avoids such problems. As an output, healthcare industries can automate their healthcare processing systems, including patient care systems.
How is healthcare EDI related to HIPAA compliance?
Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a law or mandate protecting patient data. Any disclosure or sharing of sensitive patient data must be with the patient’s consent as per electronic data interchange in healthcare laws. HIPAA also requires healthcare organizations to follow a data format to transmit and process healthcare data. Standardized data is consistent, and data anomalies can be avoided.
The law also requires healthcare companies to use secure encrypted electronic transmission, access health data, and implement automated compliance checks for regulations related to HHS privacy. Before the widespread implementation and adoption of HIPAA, healthcare organizations used their proprietary codes for medical electronic data interchange. This made it difficult to exchange data, and any pre-processing of data was expensive.
Why is EDI in healthcare important?
Healthcare EDI is important because it improves the productivity of healthcare operations. It reduces anomalies, enhances data accuracy, processing efficiency, and healthcare delivery speed. There is limited or no human intervention. So the scope of malpractices or compromising data security is low or none.
The Transformative Effect of Healthcare Software Development
Digitization has revolutionized the way we work and organize. It has accelerated the pace of operations across every industry. When it comes to healthcare, software has digitized many workflows in clinical activities, research, as well as patient engagement. The growth of healthcare software development has ushered in waves of innovative applications that have helped clinicians deliver better care and for patients to have a good medical experience.
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Healthcare Analytics - Osplabsosplabs.com
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Medical Billing - Osplabsosplabs.com
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