Over the years, there has arisen an ever greater need to protect the flow of private or individually sensitive information that relates to peoples medical and health care records. What is HIPAA 5010 is one such version of legislation that seeks to harmonize this flow through standardized electronic transmission right across the board. This means that remittances, insurance claims, referrals and eligibility enquiries and responses, as well as billing and payment information, are better regulated. Organizations that fall under the banner of 'covered entities' need to effect the changes necessary to achieve compliance to the new standards as well as to enable them enjoy the benefits envisaged in rolling out such regulations.
As an upgrade from an older version, HIPAA 5010 comes with a number of improvements:
1) NPI regulation is now supported
2) Irrelevant or superfluous information is not held in the system
3) Enhancement of consistency in all affected transactions
4) 'New-use' cases are now able to be incorporated as and when presented by covered entities
5) HIPAA 5010 enables better clarification of information which would otherwise contain ambiguities
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