| |
 |
| |
|
Hipaa Medical Software And HIPPA ComplianceMost, if not all, medical billing software sold on the market states that it is fully HIPPA complaint. So what exactly does that mean? Basically, when workers or family member change their jobs, they would need their health insurance coverage to, in one form or another, follow them. The act that provides for this is known as the Health Insurance Portability and Accountability Act, in other terms HIPAA. Specifically it is Title II of HIPAA that provides for this umbrella coverage. Thus all medical software that deals with the medical claims billing process of insurance companies, is required to be HIPPAA complaint thusly, although not exactly correct, it is referred to as HIPAA Medical Software, meaning it is compliant with the HIPPA act. If it is not, than it is basically useless medical software. Good medical software will use EDI (Electronic Data Interchange) as an interface to deal with the claims billing process. HIPAA uses key EDI transactions, as an example, if you wish to submit billing information related to the healthcare services provided, you should use the EDI Healthcare Claim Transaction set. The healthcare service provider transmits this information to the payers of the insurance claims, in other words the insurance company of the claimant. This information could be transmitted either directly or various clearinghouses can be used as a means for the claims transmission process. HIPAA compliant Medical Software will ensure that all EDI transaction mechanisms are compliant with various clauses of Title II of HIPAA. If not then HIPAA medical software can be freely used as long as an NPI has been obtained. What is NPI? ·In addition, one does not have to pay cost per claim filed which is the case with some of the other medical software. It is absolutely free to use. ·This free usage of HIPAA Medical Software allows the user access to thousand of payers or insurance companies. That is important because when a patient or a service provider files for an insurance claim for the healthcare services provided, one should not be hunting to know who the payer is and what kind of insurance plans are provided. Therefore, HIPAA compliant software, assureds the user an error free environment that will enhance their chances of filing an error-free claim. Remember, one error noted by the payer or the insurance company would mean a rejection of the submitted claim. Put another way, medical claim billing errors are highly costly. HIPAA Medical Software, in other words is medical billing software that is HIPAA compliant, ensuring a smother flow between provider and insurer, which further ensures that the medical billing process ends up in paying the healthcare provider for medical services rendered. |