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Dr. Jones, a practicing dentist, has decided to directly implement an EDI solution to comply with the HIPAA transaction rule. Dr. Jones employs a small staff of 4 persons for whom he has sponsored a health care plan. Dr. Jones has revenues of less than $1 million. Select the code set that Dr. Jones should consider supporting for his EDI system.
Suggested Answer: A
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36 comments · newest first
HA
Haydee
12 months ago
Not sure if CDT is enough for compliance, though...
GA
Gaynell
12 months ago
Totally agree, CDT is the way to go for Dr. Jones!
LU
Ludivina
1 year ago
Wait, isn't 834 for enrollment? Why would he need that?
LI
Lisandra
1 year ago
I thought 837 - Professional was the right choice for dentists?
KE
Kenneth
1 year ago
Definitely go with E - CDT codes for dental claims!
TA
Tawanna
1 year ago
I’m a bit confused about the difference between the 837 - Professional and the 837 - Institutional. Wouldn't both be relevant for a dental practice?
BR
Brent
1 year ago
I practiced a question similar to this, and I believe the 834 is more about enrollment, which doesn't seem to fit Dr. Jones's needs.
TR
Tran
1 year ago
I think the CDT code set is specifically for dental procedures, so that might be the right choice for Dr. Jones since he’s a dentist.
AL
Allene
1 year ago
I remember that the 837 forms are used for submitting claims, but I'm not sure if Dr. Jones needs the professional or institutional one.
HU
Huey
1 year ago
I think the key here is to identify the "critical functions" and then determine which functions provide support to those. Option A seems like the most logical choice.
CA
Cassie
1 year ago
Alright, let me go through the options carefully. I'm leaning towards option D, where all the PDBs are upgraded, but I want to double-check the details to make sure I'm not missing anything.
SH
Shasta
1 year ago
This question seems straightforward. I think the answer is A - the non-agnostic business process logic is located in one place and separated from agnostic logic.
SH
Sharika
1 year ago
Ah, the age-old debate - 837 or bust! Dr. Jones should definitely go with the 837 - Professional code set. It's like choosing between a tooth extraction or a root canal - the 837 is the lesser of two evils.
HO
Hoa
1 year ago
The 837 - Professional code set will make EDI implementation much smoother for Dr. Jones.
ST
Stacey
1 year ago
It's definitely the best choice for a small practice like his.
NI
Nida
1 year ago
I agree, the 837 - Professional code set is the way to go for Dr. Jones.
MA
Marva
2 years ago
I wonder if Dr. Jones has considered the humorous option of using carrier pigeons for his EDI transactions? Just kidding, the 837 - Professional code set is definitely the way to go.
DO
Dorethea
1 year ago
Agreed, it will help ensure the security and privacy of patient information.
MA
Margarita
1 year ago
It's important for him to comply with the HIPAA transaction rule.
SI
Simona
1 year ago
Yes, that would be the most appropriate option for his practice.
CA
Cathern
1 year ago
I think Dr. Jones should consider supporting the 837 - Professional code set.
DE
Derick
1 year ago
I don't think carrier pigeons would be very efficient for EDI transactions, but the 837 - Professional code set is definitely the way to go.
EI
Eileen
1 year ago
The 837 - Institutional code set might be a good choice for Dr. Jones as well.
RA
Raina
1 year ago
I think Dr. Jones should also consider supporting the 834 code set for his EDI system.
RO
Roy
1 year ago
I agree, the 837 - Professional code set is the best option for Dr. Jones.
MA
Marvel
2 years ago
The 837 - Professional code set makes the most sense here. With a small staff and low revenues, that's likely the most efficient and cost-effective option for Dr. Jones.
GE
Gerry
1 year ago
Yes, it's definitely the most practical option for a small practice like his.
MA
Margurite
1 year ago
I agree, the 837 - Professional code set is the best choice for Dr. Jones in this situation.
RE
Regenia
2 years ago
I'm not sure, I think Dr. Jones should consider option D) 837 - Institutional instead.
OR
Orville
2 years ago
I agree with An, option A) 837 - Professional seems like the best choice for Dr. Jones.
DE
Denna
2 years ago
Hmm, this seems straightforward. As a small dental practice with less than $1 million in revenues and a staff of 4, I'd say the 837 - Professional code set is the way to go for Dr. Jones' EDI system.
GL
Gladys
1 year ago
It's a practical decision considering the size of his practice and staff.
TI
Tijuana
1 year ago
Using the 837 - Professional code set will make EDI implementation smoother for Dr. Jones.
SC
Scarlet
1 year ago
It's definitely the most suitable choice for a small dental practice like his.
CH
Cherry
1 year ago
I agree, the 837 - Professional code set is the best option for Dr. Jones.
AN
An
2 years ago
I think Dr. Jones should consider supporting option A) 837 - Professional.