HIPAA 5010- Graduating From HIPAA 4010 to Provide Better Health Insurance Service
Health Insurance Portability and Accountability Act (HIPAA) of 1996, addresses healthcare issues like, patient health information protection, insurance portability and simplification of health insurance administration. The voluminous health insurance data involved, makes the insurance administration process, cumbersome. The covered entities like physicians, hospitals, clinics, clearing houses, plan providers and their business associates need seamless connectivity, to synchronize their transactions in smooth manner. This will reduce processing time, cut operating cost and increase the overall productivity of the system. As a result the patients can enjoy better, safer and cheaper health insurance service.
The complete conversion of the paper records into electronic format is a time consuming task. The real challenge lies in creating seamless connectivity between different health services so that the patient health information is used safely to settle insurance claims, remittances and eligibility issues in time bound manner and to complete satisfaction of the customers.
- Administration of Claims
- Management of contract with Health service provider
- Medical Management that includes referral and pre-authorization, disease and case management.
- Assessment of Eligibility and Enrolment
- Customer service in handling the appeals and providing claim related support.
In the end, HIPAA 5010 with 1000 plus changes, from its predecessor, will greatly help increase interoperability and portability between the different health providers and their business associates. This will translate into huge savings in operational costs of the national healthcare system and enable the patients to receive better health insurance services at reduced prices, compared to what is available to them, today.
HIPAA 5010 will integrate healthcare insurance industry.
Jason Gaya
Read more on HIPAA at, www.empowerbpo.com
Labels: HIPAA 5010
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