Question:Explain the HIPAA Transaction and Code sets standard rules.
Answer:
The HIPAA transactions and code set standards are rules to standardize the electronic exchange of patient-identifiable, health-related information. They are based on electronic data interchange (EDI) standards, which allow the electronic exchange of information from computer to computer without human involvement.
Question: <em>Explain </em><em>why </em><em>it </em><em>is </em><em>important</em><em> </em><em>to </em><em>know </em><em>the </em><em>difference</em><em> between</em><em> the</em><em> </em><em>codes</em><em> </em><em>sets </em><em>when </em><em>submitting</em><em> </em><em>electronic</em><em> </em><em>claims.</em>
Answer:It is important because the codes show what the patient is seen for and what the doctor does during the procedure or office visit. If the coder puts in the wrong code set, the patient could be misdiagnosed to their insurer or charged unfairly. Each visit, procedure, lab test, etc has their own code set to abide by.
Question: Describe one factor, per HIPAA regulations, that you should consider when transmitting health insurance claims electronically.
<u>Answer:</u><u> </u><u>HIPPA policy has some strict rules on account of which the medical records of a patient are secured. When transmitting health insurance claims electronically, healthcare organizations should implement secure electronic access to health data and remain in compliance with privacy regulations set by HHS.</u>
<h3>
<u>Hope </u><u>it </u><u>helps </u><u>you</u><u>!</u><u>!</u></h3>
Answer:
The seven step approach for decision making is:
<h3>1. Identify the need for the decision</h3>
Try to determine the background of the decision to be made
<h3>2. Gather information related</h3>
Research information and data related to the problem which will help in resolving the problem matter.
<h3>3. Identify alternatives present</h3>
Keep a list of possible alternatives for the decision. Having a Plan A up to Z works!
<h3>4. Weigh the gathered evidence available</h3>
Know and see what are the highs and lows of each decision.
<h3>5. Choose the correct decision among alternatives</h3>
Decide which resolution is the best, or have combinations to produce a better outcome.
<h3>6. Take action</h3>
If everything is situated according to plan, Act.
<h3>7. Review your decision</h3>
Reevaluate your path if it needs minor modifications or a total re-haul.
this question is incomplete but I have added The Answer options to your question
a) He does not have a hypothesis.
b) He only has one group. He has not established a comparison
c) He has not measured an outcome.
d) The groups were not equal to begin with.
Answer:
b) He only has one group. He has not established a comparison
Explanation:
A randomized controlled experiment can be defined as an experiment that has two groups which it randomly assigns participants to.
These two groups are:
1.) the experimental group and
2.) The controlled group on whom the study is being performed.
Now Alberti does not have any of these groups we have listed. He performed the testing on the same people before they consumed alcohol and after they consumed alcohol. Therefore this study was not comparative in nature.
Stored i think is the right answer