Health Insurance Portability and Accountability Act - Title II: Preventing Health Care Fraud and Abuse; Administrative Simplification; Medical Liability R - Transactions and Code Sets Rule - Brief 5010 Transactions and Code Sets Rules Update Summary

Brief 5010 Transactions and Code Sets Rules Update Summary

1) Transaction Set (997) will be replaced by Transaction Set (999) "acknowledgement report".
2) The size of many fields {segment elements} will be expanded, causing a need for all IT providers to expand corresponding fields, element, files, GUI, paper media and databases.
3) Some segments have been removed from existing Transaction Sets.
4) Many segments have been added to existing Transaction Sets allowing greater tracking and reporting of cost and patient encounters.
5) Capacity to use both "International Classification of Diseases" versions 9 (ICD-9) and 10 (ICD-10-CM) has been added.

Read more about this topic:  Health Insurance Portability And Accountability Act, Title II: Preventing Health Care Fraud and Abuse; Administrative Simplification; Medical Liability R, Transactions and Code Sets Rule

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