Compliance & RegulatoryQuestion 86 of 100
The HIPAA transactions and code sets standards were established to:
a.Set physician salaries
b.Determine which drugs are covered
c.Standardize the electronic exchange of health care data, such as claims, using uniform formats and code sets
d.Replace the need for medical records
Explanation
HIPAA's transactions and code sets standards require covered entities to use uniform electronic formats, such as the 837 claim and 835 remittance, and standard code sets like ICD-10-CM, CPT, and HCPCS. Standardization streamlines electronic data interchange between providers and payers. It reduces the administrative burden of differing payer formats.
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