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EDI Claims: Why Use EDI in Healthcare?

As the digital world continues to advance, we are privileged to use various software and technologies that make our jobs easier. Once such technology is electronic data integration (EDI). EDI allows for improved healthcare claims processing, including better security and efficiency for patients and healthcare providers.Patient and medical staff

Security

EDI allows for improved security and privacy measures for healthcare claims processing. The Health Insurance Portability and Accountability Act (HIPPA) of 1996 protects patient’s privacy and provides boundaries as to whom medical records can be released to. EDI minimizes the possibility of information over sharing when it comes to medical records and health care claims submissions.

For example, traditional information sharing through paper claims mailed through the postal system or information emailed to an individual increased the chances that more individuals than necessary came into contact with the private information. While these individuals may have clearance to handle this information, it is an inefficient and insecure method of information sharing.

EDI, on the other hand, specifically integrates with a health management system within your healthcare practice to minimize information handling and claims processing. Instead of passing patient information from person to person (or email to email), the EDI software passes the documents through a securely integrated system that is based on specifically coded transactions.

These transactions can only be viewed and processed by another EDI system that can read the agreed upon standard formatting of these coded documents. This ability to share documents and information between EDI softwares that only accept certain codes increases the security of patient information and healthcare claims.

Efficiency

Efficiency is another great reason to use EDI in healthcare practices. EDI significantly decreases the amount of time it takes to submit and process a claim. Not only will most EDI’s help you to identify potential mistakes within the claim to be submitted, it will also assist in the processing by providing real time feedback about the claims submission.

Efficiency in processing allows for healthcare claims to be processed faster, meaning healthcare providers can get paid for services rendered more quickly through an EDI software.

Though security and efficiency are important aspects to any software within a healthcare practice, it is critically important within an EDI. For more information about plans and pricing of Apex EDI software, reach out to us on our Contact Us page. Security and efficiency are of utmost importance to our professionals at Apex EDI. We will be happy to assist you in incorporating a secure and efficient medical claims software into your practice.

http://www.edibasics.com/what-is-edi/
http://www.edibasics.com/edi-resources/document-standards/hipaa/

Articles with this disclaimer may not represent the beliefs or core values of Apex EDI. The following is simply a summary taken from the industry’s general community to help readers stay up-to-date on what people are talking about. 


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EDI Claims: Reasons To Do EDI Claims – Efficiency, ROI, and Expediency

Electronic Data Integration (EDI) has come to the forefront of information transfer in recent years. Exactly what is EDI, how can it be used for medical professionals, and what are the primary benefits of using EDI? Let’s examine these queries further.

EDI Defined

As we have already determined, EDI stands for electronic data integration. EDI the exchange of documents in a standard format from computer to computer. The difference between traditional methods of document exchange, such as a mail, email, or fax, is that EDI eliminates a lot of the processes of the exchange.

For example, traditionally faxed documents involve one individual preparing the documents, the fax machine sending the documents, the recipient receives the documents, the recipient processes the documents, then the recipient sends the documents back through the fax machine to the original sender, and then the process is repeated in order to properly process the documents.

This 5+ step process is inefficient, desperately slow, and minimizes the opportunity for profitable practices. EDI helps to eliminate these inefficient processes, and provides maximum output for profitable earning activities through efficient document exchange.

Use in the Medical Field

CLAIMS CONCEPT man hand on table Business, coffee, Split tone

For medical professionals, this is a wonderful invention. EDI allows the expedient processing of medical claims, patient data transfers, and information requests on medical history. EDI can be used in multiple areas of medical expertise, including but not limited to traditional medical practices, dental practices, chiropractic care, mental health counseling, and beyond.

Apex EDI is the premier EDI software that can be integrated into existing practice management software. EDI provides a host of benefits for medical providers, which we will discuss in the next subheading.

 


Benefits of Using EDI for Medical Claims

While the benefits of using EDI are vast for medical claims billings, a few stand out in our mind as invaluable. They include efficiency, returns on investment, and expediency.

Efficiency

EDI increases medical claims billing efficiency by eliminating repetitive tasks and expediting the accuracy of documents that allow your staff to improve production and processing of medical claims.

ROI

ROI - Return on investment
EDI return on investment (ROI) is a substantial benefit for medical claims billing providers. Elimination of
paper processing such as printing, postage, and illegible faxes allows for a cost savings of up to 35%.

Expediency

The efficiency of EDI also allows for faster claims processing. Exchange transactions take place in minutes instead of hours or days required by email or traditional postal services.

Overall, EDI systems are a phenomenal method of improving efficiency, expediency, and profitable business practices for medical claims billing. Apex EDI allows for all of the benefits and more. For additional reasons to use Apex EDI for your medical claims billing practices, visit our Contact Us page in order to receive more information.

Articles with this disclaimer may not represent the beliefs or core values of Apex EDI. The following is simply a summary taken from the industry’s general community to help readers stay up-to-date on what people are talking about. 

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