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The document outlines the Centers for Medicare and Medicaid Services' guidance on HIPAA compliance, focusing on the importance of standardized data content and code sets in healthcare transactions. It explains the distinction between format data and data content, detailing how these elements interact within electronic transactions. The paper also identifies key organizations involved in maintaining these standards, discusses the challenges faced by State Medicaid agencies regarding local codes, and emphasizes the need for collaboration among various stakeholders to ensure effective implementation of HIPAA regulations.

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Which of the following is a code set adopted by HIPAA?

HIPAA sets strict standards for managing, transmitting, and storing protected health information. HIPAA applies to healthcare providers, insurers, and other organizations handling patient data, mandating safeguards to prevent unauthorized access or misuse of sensitive information.

What is a coded data set?

OHRP Definition of Coded: Coding a data set means replacing the name, MR# and other readily identifiable fields with a unique identifier code number. Just because the data is coded does not mean that all elements of PHI have to be removed.

What are code sets?

A code set is a shared list of codes that is used in place of longer names or explanations. Health care transactions use. medical code sets to quickly.

What are HIPAA code sets?

The code set adopted by HIPAA for use by clearinghouses, health plans, and providers is d. SNOMED. SNOMED (Systematized Nomenclature of Medicine) is the code set adopted by HIPAA (Health Insurance Portability and Accountability Act) for use by clearinghouses, health plans, and providers.

What are the 5 HIPAA standards?

HIPAA is a set of rules that govern businesses handling PHI, with five main provisions including the Privacy, Security, Transaction, Identifiers, and Enforcement rules, and identifying the 18 data types that constitute PHI is essential for compliance.

What are the 5 code sets approved by HIPAA?

HIPAA Code Sets ICD-10 International Classification of Diseases, 10th edition. HCPCS Health Care Common Procedure Coding System. CPT Current Procedure Terminology. CDT Code on Dental Procedures and Nomenclature. NDC National Drug Codes.

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