Selecting a Code Set

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Selecting a Code Set

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EDI relies on transaction code sets. These codes represent longer explanations and descriptions.

The code sets are stored in the file codesets.xml in the Configuration subdirectory:

oThis PC\Window (C:)\ProgramData\HIPAAsuite\HIPAA Authorizer\Configuration

 

Path to the Configuration folder for the codesets.xml file.

Path to the Configuration folder for the codesets.xml file.

 

Note: The folder may be hidden.

 

How can I view and edit transaction code sets?

To view and/or edit transaction code sets in the HIPAA Authorizer application, follow the steps below:

 

1.Go to the "CodeSets" tab in the main menu window.

 

The "CodeSets" tab and its sub-menus.

The "CodeSets" tab and its sub-menus.

 

2.Hover the pointer over one of the sub-menus, then select your desired code set name. The following items are available per sub-menu:

 

A to E

Action Codes

Admission Source

Admission Type

Ambulance Transport

Ambulance Transport Reason

Bill Type

Certification Type

Condition Category

Condition Codes

Condition Nature

Date Time Qualifiers

Decision Reason Codes

Delay Reason Codes

Employment Status Codes

Entity ID

 

 

F to P

Facility Type UB

Facility Types

Follow-Up Codes

Gender Codes

HI Codes

ID Codes

Info Release Codes

Level Of Service

Level of Care

Modifiers

Nursing Home Status

Oxygen Delivery

Oxygen Equipment Types

Oxygen Finding

Oxygen Test Condition

Patient Condition

Patient Location

Patient Status

Pattern Codes

Procedure Codes

Prognosis Codes

Provider Taxonomy

Provider Type

 

 

Q to Z

Quantity Codes

Quantity Qualifiers

Reject Codes

Related Causes Codes

Relationship Codes

Release Of Information

Report Transmission

Report Types

Authorization Request Category

Service Types

Subluxation

Time Codes

Time Pattern Codes

Tooth Surface

Units

 

The following screenshot illustrates how to select the "Gender Codes" code set for display.

 

The "Gender Codes" option is under the "F to P" sub-menu.

The "Gender Codes" option is under the "F to P" sub-menu.

 

3.The code set configuration window will open.

 

The "Gender Codes" code set window.

The "Gender Codes" code set window.

 

4.Once done, click "Save" if you have made any changes or "Close" if you want to exit. If you need more information, click "Help."

 

What are the tools to edit code sets?

See the descriptions of the tools and actions you can find and perform, respectively, in the transaction code set lists:

 

Number of records in the code set

This shows the total number of codes; in this example, the "Gender Codes" code set has 3 total codes.

 

Codes and their corresponding descriptions

The codes are indicated in the source EDI files. The descriptions are displayed instead of codes, making files easier to read. For example, for the "Gender Codes" code set, these are the codes and corresponding descriptions:

oF — Female

oM — Male

oU — Unknown

 

Adding a New Row

To add a row, click on the last row; you will see an indicator in the first gray field.

 

The indicator is shown in the left column.

The indicator is shown in the left column.

 

Editing the Row

To edit, double-click the cell you want to change. You may also start typing to enter Edit mode as well. Clicking or moving outside this cell overwrites the cell contents with the new value. To make these changes permanent, click the "Save" button.

 

Click on the cell you want to write.

Click on the cell you want to write.

 

Deleting a Row

To delete a row, click the left margin. This action will highlight the whole row. Then, press the Delete key on your keyboard.

 

4.7 auth deleting row

 

Now press the <DELETE> key on your keyboard.