What code sets have been adopted as HIPAA standards?
ICD-9-CM Volumes 1-3 – International Classification of Diseases, Ninth Revision, Clinical Modification CPT-4 – Physician Current Procedural Terminology HCPCS – Health Care Financing Administrative (HCFA) Common Procedure Coding System Code on Dental Procedures and Nomenclature2 – Current Dental Terminology NDC – National Drug Codes What is the difference between the electronic remittance advice (ERA) and the paper remittance advice (RA)? The ERA consists of two transactions: the 835 claim payment/advice transaction and the 277 pending (unsolicited) claim status transaction. These two transactions provide information on paid claims, adjusted claims, refunds, and pending claims payments. The ERA transactions and the 277 unsolicited claims status are intended to be used as an aid to account balancing and direct posting to patient accounts. The paper RA also provides information on claims payment but includes a greater level of detail on claim denials.
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- What code sets have been adopted as HIPAA standards?
