Health Care EDI, How to Get It Done
by: spivey003
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* EDI in the health care supply chain
* EDI for claims management and sending patient information
EDI in the health care supply chain: Health care EDI as used in the supply chain is generally based on hospitals and other facilities (providers) ordering their supplies from their vendors. For this type of health care EDI relationship, the provider sends an outbound EDI purchase order message to the health care supplier. Often the supplier will have used health care EDI to send a product catalog to the provider from which they can order the needed products. From the perspective of the supply chain, health care EDI is far behind other industries. Health care EDI can in no way be compared with the level of sophistication prevalent in the retail and manufacturing industries.
There are a few organizations working on making health care EDI focused on the supply chain more sophisticated. One of the organizations working with developing the health care EDI industry is the Health Care eBusiness Collaborative (www.hcec.org) that has been a pioneer within the area for many years. This organization works closely with the Health Care EDI Coalition (HEDIC). There are far fewer organizations working on the supply chain side of health care EDI than on the HIPAA/claims management side.
Health Care EDI most commonly refers to the claims management and patient record side of the business, which is guided by the HIPAA standards for security and information transfer. Generally there are completely different departments within a provider that deals with health care EDI from the claims management perspective, and sometimes there is a “turf war” between these departments. At times, health care EDI is not centralized on one platform and providers utilize two or more systems to send health care EDI, one for claims management and the other for supply chain data. This is most often completely unnecessary, as the sending and receiving of health care EDI messages is the same process, regardless of what the use is. Therefore, there is little efficiency regarding the EDI infrastructure in health care EDI.
One way to rationalize health care EDI is for providers to understand that the same infrastructure can be utilized for both claims management and HIPAA transactions.
Finding a solution for Health Care EDI software is not as easy as finding an EDI software solution for retail applications. The reason has to do with the available technical infrastructure of the hospitals that use Health Care EDI. As hospitals and healthcare organizations begin to adopt Health Care EDI, the need for an easy to deploy, easy to use Health Care EDI solution becomes evident. Unlike EDI in the retail world, Health Care EDI is driven and mandated by large healthcare suppliers such as Cardinal Health. Health Care EDI, for this reason, has experienced its share of challenges in adoption and implementation. While large providers and suppliers such as Cardinal have the necessary resources to deploy Health Care EDI, many of the smaller healthcare organizations that are required to adopt Health Care EDI software are technically challenged and financially strapped. What is the optimal Health Care EDI solution for these small healthcare organizations with limited budgets for Health Care EDI and limited IT infrastucture?
One answer for these organizations is to find a Health Care EDI solution that is easy to use, easy to deploy and that can be automated as much as possible. This type of Health Care EDI software allows the healthcare organization to focus on health care rather than focusing on Health Care EDI. EMANIO’s Health Care EDI software can be installed in as little as 10 minutes. EMANIO’s Health Care EDI software is available with pre-configured “Health Care EDI kits” that make the process of adding support for new Health Care EDI trading partners quick and easy. Health Care EDI with EMANIO becomes a process of managing your hospital instead of managing your Health Care EDI software.
Automation is another key aspect of EMANIO’s Health Care EDI solution. Emanio’s software provides for the automation of as many steps as possible in the Health Care EDI chain, ensuring that the hospital can focus on its business rather than on Health Care EDI. Regardless of which Health Care EDI solution your hospital selects, it is critical that you ensure that the Health Care EDI software provides an easy means of adding support for new trading partners. It is also important that the Health Care EDI software be easy to use and easy to automate. With these requirements for a Health Care EDI solution, any health care organization should be able to comply with Health Care EDI mandates.
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For more info Health Care EDI visit Emanio <a
href="http://www.emanio.com/HealthCareEDI.htm">Health Care EDI</a>
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