HIPAA ASC X12 version 5010 brings a new set of standards that regulate the electronic transmission of specific health care transactions including eligibility, claim status, referrals, claims, and remittances. Covered entities, such as health plans, healthcare clearinghouses, and healthcare providers, are required to conform to the new transaction set standards. These standards meet the needs of the healthcare industry in a better way. All healthcare entities are expected to follow these standards after July 2012. HIPAA 5010 is essential for all healthcare organizations so that they can easily accommodate the upcoming ICD-10-CM and ICD-10-PCS code sets that will get implemented by October, 2013.
O2I offers a range of healthcare BPO, including medical billing and coding, transcription, claim adjudication, and more. To meet the regulatory standards, that our healthcare clients are expected to follow, we have understood and implemented the changes required in HIPAA standards from previous version 4010 to the current 5010. All the medical documents and claims that we manage come strictly under HIPAA 5010 standards. Our team has gone through all the guidelines offered by American Medical Association and taken necessary measures to ensure standards are followed for electronic transaction, code set standards, privacy, and security.
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