The Centers for Medicare and Medicaid Services (CMS) mandated all providers, insurers and any middlemen involved in the health care industry submission of claims for reimbursement or registering of care, the verifying of eligibility, the
precertification of services, or any other client- related information to adhere to a uniform format by October 2002. This action forced all providers to install_______________________ transmission programs in their billing and medical record systems. Fill in the blank(s) with correct word
Electronic Data Interchange (EDI)
Rationale : The Centers for Medicare and Medicaid Services (CMS) mandated all providers, insurers and any middlemen involved in the health care industry submission of claims for reimbursement or registering of care, the verifying of eligibility, the precertification of services, or any other client- related information to adhere to a uniform format by October 2002. This action forced all providers to install Electronic Data Interchange (EDI) transmission programs in their billing and medical record systems and has altered the methods of communication for all health care professionals.
Global Rationale:
Cognitive Level: Evaluating
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:
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