Health Insurance Portability and Accountability Act (HIPAA) is an act that requires entities including health plans providers, health care clearinghouses, and health care providers to adopt standards for electronically conducting administrative transactions like claims, remittances, and claims status requests.
Beginning on January 1, 2012, a federal mandate requires health plans, clearinghouses, and providers to use new standards in electronically conducting certain health care administrative transactions at the heart of daily operations. This includes transactions like claims, remittance, eligibility, and claims status requests and responses. Upgrading from the current HIPAA 4010A1 transaction standards to the new 5010 standards addresses several key goals:
Increase transaction uniformity
Support pay for performance
Streamline reimbursement transactions
As the deadline approaches, affected health care organizations need to upgrade and test their claims management systems to accommodate 5010 and prevent operational disruptions. HIPAA 5010 is the next step towards improved national healthcare transaction standards. Its main intention is to economize billions of dollars by altering the complex process of claims administration and payments through a single standard for healthcare transactions. HIPAA 5010 is going to bring a significant growth in improving the efficiency and reducing the maintenance costs to large extent for organizations planning to meet federal government regulations and deadlines quickly. HIPAA 5010 will have huge business and operational impact on all the stakeholders in health care industry.
We at Tangentia can help you achieve success by helping you to be ready for this initiative and win in the healthcare industry. Teaming with Tangentia will guarantee you a consistent and committed service in choosing a flexible and advanced technology through its qualified subject matter experts. We will evaluate your current 4010 system and provide solutions and after due analysis provide recommendations for the upgrade. These recommendations will take into account the processes where the upgrade is required and will include solutions for implementing HIPAA 5010 and ICD 10 changes.
We at Tangentia, provide the customers the opportunity to improving cost and operational efficiency by outsourcing these processes to us. We will bring in knowledge and experience of rolling out and servicing these services resulting in delivering in faster and cost efficient business results. We at Tangentia acknowledge that in order to comply with HIPAA requirements, integrating back-end systems with the information needed to create EDI documents is a very complex job. With that in mind, Tangentia has designed a thorough EDI solution for Health care organizations to link and utilize their information to create the necessary Health Care EDI documents. The final solution provides a centralized HIPAA EDI management system to audit, manage and control the movement of information from an organization's back-end system right through to its trading partners.
Tangentia Commerce Gateway
Tangentia Commerce Gateway is a world class Software as a Service (SAAS) offering provided by Tangentia and is in production at hundreds of customers worldwide providing seamless EDI/ B2B support for companies without the need to make capital expenditure in software, with no obsolescence risk, with no need to have internal EDI expertise and with world class SLA and 24/7 support. Click here to learn more
Tangentia Mapping Factory
Tangentia has revolutionized the End to End EDI mapping process by cutting the cost of creating maps by a huge margin with the help of its offshore operations. Tangentia can create maps, test maps and deliver end to end solutions faster than ever before and without geographical restrictions.
Click here to learn more.