The final rule for HIPAA 5010 has been published to standardize the electronic exchange of healthcare claims. Updates have been mandated in all the nine healthcare electronic transactions from the former ASC X12 version 004010A1 (4010) to newer 005010 (5010). All covered entities are required to adopt the new HIPAA electronic transaction standards by Jan 1, 2012.
Excerpts from the Paper
The process is initiated by conducting the AS-IS study of policies, processes and IT assets to understand the enterprise landscape. Based upon the transaction changes all the affected entities are identified and the associated risk is calculated. Considering the varied level of impacts of the identified risk areas, a contingency plan is designed. HCL uses its proprietary Enterprise Discovery Framework to facilitate enterprise discovery and consequently mapping of business processes to IT applications. It forms the basis for any further phases of the upgrade methodology.