HIPAA 5010- Graduating From HIPAA 4010 to Provide Better Health Insurance Service
This is where HIPAA 5010 will take over from HIPAA 4010. HIPAA 5010 overcomes the shortcomings of HIPAA 4010 by adopting a well a defined policy which supports structural and technical changes to provide a consistent and uniform content that creates a common platform for different health service providers. As a result covered entities like physicians, hospitals, payers, clearinghouses, dentists and pharmacies can easily share and process the patient health information in minimal time and cost.
HIPAA 5010 addresses drawbacks in HIPAA 4010, by providing solutions to the critical health care issues like claims attachment, quality and cost of treatment, patient health records and safety, pay for performance and pay consumerism. The ICD-10 diagnostics and procedural codes, which are missing in HIPAA 4010, make HIPPA 5010 highly accurate and flexible for the payers to capture more and better information about patients. This will enhance functional areas like:
- 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.
Labels: HIPAA 5010