Title: What Is Healthcare EDI and Why Does It Matter?
Headings: What Is Healthcare EDI and Why Does It Matter?
What Is Healthcare EDI and Why Does It Matter?
What Is Healthcare EDI?
Healthcare EDI and HIPAA Compliance
EDI and Data Integration Benefits for the Healthcare Industry
Accuracy:
Cost savings:
Start with the Low-Hanging Fruit

Content: For these reasons, EDI is the primary conduit for the flow of goods, services, and revenue throughout the global economy. The roots of healthcare EDI stem from the first Bush administration’s concern for rising healthcare costs. In 1991, the Workgroup for Electronic Data Interchange was formed to address the inefficiencies in the American healthcare system. The Workgroup played a significant role in the enactment of the Healthcare Insurance Portability and Accountability Act (HIPAA) of 1996. Healthcare EDI and HIPAA Compliance
What does healthcare EDI have to do with HIPAA compliance? HIPAA mandates healthcare organizations to follow a standardized mechanism of EDI to submit and process insurance claims. The logic behind this regulation is to make the administration of healthcare in the US more secure and efficient. In addition, the law requires healthcare organizations to implement secure electronic access to health data and comply with HHS privacy regulations. Before this rule came into effect, healthcare providers had their own local or proprietary codes. The landscape was confusing and difficult to navigate.