先读我

Pierre-Olivier Montiglio, Tina W. Wey, Ann T. Chang, S. Fogarty, Andrew Sih
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引用次数: 3

摘要

在20世纪90年代早期,健康计划试图在医疗保健系统中标准化索赔支付生命周期索赔提交、处理和支付。这一努力旨在提高效率、提高质量和降低成本。当时,电子健康信息以多种格式共享,具有不同的行业要求意识到行业需要联邦行动来强制标准化,国会于1996年通过了《1996年健康保险流通与责任法案》,即公法104-191 (HIPAA)。HIPAA的主要目标之一是在索赔支付生命周期中实现“行政简化”
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Read me first
In the early 1990s, health plans attempted to standardize the claim payment life cycle claims submission, processing and payment in the health care system. This effort sought to gain efficiencies, improve quality and reduce costs. At the time, electronic health information was shared in a multitude of formats with varying industry-imposed requirements.1 Realizing that industry needed federal action to mandate standardization, Congress passed the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191 (HIPAA), in 1996. One of HIPAA’s primary objectives is to achieve “administrative simplification” in the claim payment life-cycle.2
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