Understanding The Basics of EDI.png
EDI GUIDE

Health care EDI

Understanding the Basics of EDI

When discussing health care EDI, it's important to understand the application of EDI technology within the health care process. There are two major uses for health care EDI technology:

  1. Health Care EDI Supply Chain Management
  2. Claims Management and Patient Information Exchange

When discussing health care EDI, most people focus on the management of claims and patient record aspect of the business. This part of health care EDI has been developed under the auspices of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) which aimed to combat waste, fraud, and abuse in health care delivery and insurance while improving the effectiveness of the health care system. The HIPAA regulations for health care EDI focus on security and information transfer. Since claims management and supply chain management are often separate departments within institutions, it's quite common for "turf wars" between departments to confuse the issue of health care EDI adoption. Often institutions will have two different health care EDI systems in use, one for claims processing and one for supply chain management. The unfortunate reality is that health care EDI technology allows for one system that could easily be used to handle both sets of information. Ensuring the use of a single health care EDI system must be a critical first step of adopting the technology.

The Challenge of Health Care EDI

While the long-term reasons for adopting health care EDI are strong, the technology has seen limited success in the market. The reason for this lies in the nature of the companies that use Health Care EDI and the companies that require it. Unlike the retail world, in health care large suppliers like Cardinal Health mandate the use and adoption of health care EDI. While these large vendors have the resources and budgets necessary to deploy and use health care EDI, the hospitals and facilities they deal with are often cash-strapped and have limited IT resources, making the adoption of health care EDI precarious and time consuming. This problem of lack of resources with mandates means finding health care EDI solutions that are viable can be challenging. Unlike in the retail arena the providers of health care EDI solutions are few and far between and often provide health care EDI products that are difficult to use and expensive.

The Right Health Care EDI Solution for Your Organization

One answer for organizations seeking to become health care EDI compliant is to find solutions that are easy to use, easy to deploy and provide a high degree of automation. Through ease of use and automation, health care EDI can allow hospitals and clinics to focus on health care instead of health care EDI. DiCentral's health care EDI software provides all the necessary features. Our health care EDI software is easy to install, allowing for a full installation in as little as 10 minutes. In addition, through the use of "health care EDI kits" our software allows you to expand your use of health care EDI quickly and easily.

Automation is another key aspect of how our health care EDI software makes your life easier. Our product allows for the automation of as many steps as possible in the health care EDI process, saving you both time and money. Kits with pre-built automated sequences make the use of health care EDI easier and more productive. Regardless of the health care EDI solution that you select, you should ensure that it provides for ease of installation and ease of use. Additionally, having an automated health care EDI software will make working with health care EDI faster and more productive. Finding the right solution will allow you to focus on health care, instead of health care EDI.

WHITE PAPER

Trends in Healthcare

A look into healthcare regulations like HIPAA and ACA, its impact with EDI, and how to improve supply chain compliance.
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