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HIPAA and RHIOs
- 1. HIPAA in the Land Of RHIOs 18 th Annual Summer Institute in Nursing Informatics University at Maryland School of Nursing Presented by Tak Nobumoto Director of Operations, UB|MD Privacy and Security Officer, UB|MD
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- 35. Health Information Technology _________________________ Clinical Data Exchange
Hinweis der Redaktion
- Over the past three decades the healthcare industry and the Federal government have tried to arrest double digit increases in healthcare costs. Some of the methods to do so have included group insurance plans, subsidized plans, managed care, self-insured funds, wellness programs and preventive education. The organization that oversees Medicare and Medicaid, called HCFA at the time, now CMS, limited allowable charges and required standardized transactions. What followed was the introduction of traditional health plans who each introduced their own cost-saving ideas that surrounded billing and claims. Unfortunately, elements involved in these transactions were not standardized and left providers who handle a variety of patients, represented by a variety of payers, with a multitude of inconsistencies. Delays and rejections due to processing errors and incorrect coding formats became commonplace causing a strain and even causing many to submit to paper that which could have been submitted electronically.