Overview/Description
Congress designed the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Administrative Simplification Rules to create shared data standards for health care providers, health plans, and information clearinghouses. These common standards make it easier to provide adequate care for patients, process insurance claims, and send and receive payments for health services. By using a single set of standards for exchanging electronic data, health care organizations can share health information more quickly and at a lower cost.
This course is designed to help the learner comprehend the implications of implementing HIPAA data transaction rules. The course includes a lesson which presents basic concepts of electronic data interchange (EDI) and how EDI principles will be applied to health related business transactions. Another lesson describes the structure of technical transaction standards used in HIPAA administrative simplification rules.
This course is designed to provide a managerial perspective on transaction standards. However, the course includes links to documents programmers or systems analysts will need to create or alter software to comply with HIPAA regulations.
Target Audience
The courses in this series cover a variety of subject areas that affect all employees with an emphasis on management and human resource personnel who need to understand and implement compliance policies.