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Topic: Standards

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Read Chapter 10 (file uploaded). The American National Standards Institute (ANSI) Accredited Standards Committee (ASC) X12 Insurance Subcommittee, the Health Care Task Group, publishes transactions standards, such as the ANSI X12N Health Care Claim Payment/Advice (835). Health Level Seven (HL7) is an organization that creates standards for clinical and administrative data interoperability. Search the Internet for information on the HIPAA EDI, HL7, and other standards as might be found at ASC X12 link: www.x12.org/ Health Level Seven (HL7) link: www.hl7.org/ and Veterans Health Information Systems and Technology Architecture (VistA) link: www.ehealth.va.gov/VistA.asp -Answer the following questions: 1. Identify the similarities of 835, 837, 270, and 275 EDI standards. Identify the differences of 835, 837, 270, and 275 EDI standards. 2. What are the strengths and weaknesses of HL7? 3. What challenges, in terms of interoperability, are presented by using different standards? 4. Consider a patient who has seen a general practitioner, a specialist, and has been to the hospital. How can all of the patient’s records be shared in real-time if they are encoded and managed discretely? 5. Why might a business unit in a medical setting choose to use one standard over another? 6. Identify 1 medical business unit and recommend 1 standard (835, 837, 270, or 275 EDI standards) to use. Justify your recommendation. Note: Do not write introduction & conclusion. Answer in your own words or paraphrase your work. You can research on the Internet or books/journals & you can add additional references

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