HIPAA Transaction Compliance

Streamlining processes and exchange of health administrative data

HIPAA Compliance

At the forefront of challenges for virtually all healthcare organizations - including all healthcare providers, health plans, public health authorities, healthcare clearinghouses, and self-ensured employers - as well as life insurers, information systems vendors, various service organizations, and universities- is the requirement to comply with the HIPAA electronic standard. Many organizations are investing in the send/receive capabilities, but not leveraging the benefits of data standardization for the real ROI in HIPAA.

Santéon is currently seeking a partner to improve information exchange using RFID in hospital settings. Contact us, if interested.

Santéon successfully leads the business transformation of many leading organizations and helps them realize the true goal of HIPAA for administrative simplification while increasing their visibility into their operations, reducing fraud, improving adjudication accuracy, and increasing timely communication with their business partners and patients. Santéon continues to drive healthcare excellence and make change seamless to many healthcare organizations with improved processes, as well supporting technologies such as:

RFID for streamlined data connectivity and Integration
Mobile and Device based operation for information reach and real-time access

Santéon provides pre-built message structures for all HIPAA transaction types and supports the full seven levels of HIPAA compliance. Additionally, Santéon provides pre-built forms with intelligence for HIPAA X12 transactions.

All HIPAA transaction types	All seven levels of HIPAA compliance
Encounter (X12 837) Eligibility inquiry and response (X12 270 and 271) Claim status inquiry and response (X12 276 and 277) Referrals and prior authorizations (X12 278) Healthcare payment and remittance advice (X12 835) Health claims attachments (proposed) (X12 275)	Level 1 - Integrity Syntax Test Level 2 - Implementation Guide Requirements Level 3 - Balancing Testing Level 4 - Situational Requirements Level 5 - External Code Sets Testing Level 6 - Product and Services Types Level 7 - Trading Partner Testing

Increase revenue and healthcare transaction efficiency with:

Support for all format types (NSF, X12, PMS proprietary, excel, scanned image, delimited, positional)
Dynamic way to rapidly manage and change adjudication rules
Real-time data validation 'scrubbing' and filtering of non-compliant and compliant transactions
Real-time notification of errors and immediate correction, as well as automated acknowledgements
Comprehensive reports and dashboards to manage and proactively resolve common errors and issues
Quick and customizable set-up with solutions that bolt on to your existing systems
Integration of systems of any type, including any legacy system
Out-of-the-box and fully functional clearinghouse to connect payers and providers using all HIPAA transactions

Optimizing ROI in HIPAA

Santéon builds solutions to streamline all HIPAA mandated transactions through workflow automation and connectivity combined with Portal technology to support providers, payers and partners in real-time. Santéon's billing management solutions improve the efficiency of healthcare transactions with automation and process optimization technologies.