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As a medical professional it is likely you will be responsible for submitting claims to insurance carriers for services provided to patients. According to HIPAA,

As a medical professional it is likely you will be responsible for submitting claims to insurance carriers for services provided to patients. According to HIPAA, Transaction and Code Sets Standard rules are important to consider when transmitting an electronic claim form.


1. Explain the HIPAA Transaction and Code Sets Standard rules. 


2. Explain why it is important to know the differences between the code sets when submitting electronic claims. 


3. Describe one factor, per HIPAA regulations, that you should consider when transmitting health insurance claims electronically.

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1 The HIPAA Health Insurance Portability and Accountability Act Transaction and Code Sets Standard rules refer to the standardization of specific elec... blur-text-image

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