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Real-Time Prior Authorization Coverage Requirements Discovery (CRD) Between a Payer and Provider

Knowledge Center Real-Time Prior Authorization Coverage Requirements Discovery (CRD) Between a Payer and Provider October 12, 2023 Denny Brennan, Executive Director and CEO, Massachusetts Health Data Consortium David Delano, Senior Director of Services, Massachusetts Health Data Consortium MHDC / NEHEN conducted a prototype electronic automated prior authorization DaVinci compliant CRD (Coverage Requirements Discovery) implementation project…

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Prior Authorization: Pure Compliance vs Effective Cost Reduction

Knowledge Center Prior Authorization: Pure Compliance vs Effective Cost Reduction October 5, 2023 Speaker: Brian Poteet, Product Manager, Prior Authorization, Edifecs   This is a Tech Showcase presented by Edifecs at the 2023 WEDI Summer Forum. Register for the 2023 WEDI National Conference Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory…

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Implementing Clinical Data Exchange (CDeX) to Support Multiple Payer Use Cases

Knowledge Center Implementing Clinical Data Exchange (CDeX) to Support Multiple Payer Use Cases September 28, 2023 Jim Adamson, Business Transformation Manager, Arkansas Blue Cross Blue Shield Lynda Rowe, Senior Advisor Value Based Markets, Intersystems Now more than ever there is an imperative for payers to incorporate clinical data into their overall enterprise data strategy. Furthermore,…

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WEDI Submits Comments to Senate HELP Committee on Improving Americans’ Health Data Privacy

Knowledge Center WEDI Submits Comments to Senate HELP Committee on Improving Americans’ Health Data Privacy September 27, 2023 WEDI submitted comments to Senator Bill Cassidy, MD, Ranking Member of the Senate Committee on Health, Education, Labor and Pensions in response to his Request for Information entitled: “Improving Americans’ Health Data Privacy. Click to Download Back…

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Payment Models Workgroup – September Meeting

Knowledge Center Payment Models Workgroup – September Meeting September 26, 2023 Guest Speaker: Demitri Plessas, Ph.D., Principal Data Scientist, Edifecs 3 critical issues related to the use of AI in health care Join the Payment Models Workgroup Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates SDOs & Operating Rules Updates…

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WEDI Responds to Congress Regarding AI in Health Care

Knowledge Center WEDI Responds to Congress Regarding AI in Health Care September 25, 2023 WEDI has submitted comments to Sen. Cassidy , Ranking Member, Senate Committee on Health, Education, Pensions and Labor, in response to his White Paper entitled “Exploring Congress’ Framework for the Future of AI:  The Oversight and Legislative Role of Congress Over…

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Healthcare IT today Bonus Features

Knowledge Center Healthcare IT today Bonus Features September 25, 2023 WEDI called to “indefinitely postpone” the No Surprises Act Convening Provider Requirement in a comment letter, given “almost insurmountable challenges” in identifying providers, facilities, and the ability to collect and transfer good faith estimates.   Healthcare IT today Bonus Features Back to Knowledge Center Categories…

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