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Solving for Automated Prior Authorization: Three Things You Need to Know

Knowledge Center Solving for Automated Prior Authorization: Three Things You Need to Know August 17, 2023 Written by Maxim Abramsky, AVP Product Management, Edifecs Prior authorization has become increasingly burdensome for patients, providers, and even health plans. Most prior authorization requests are done manually, in a non-standard process that often results in substantial administrative costs,…

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Opportunities and Challenges: Moving from ICD-10 to ICD-11

Knowledge Center Opportunities and Challenges: Moving from ICD-10 to ICD-11 August 10, 2023 Written by Robert Tennant, VP Federal Affairs, WEDI Developed by the World Health Organization (WHO), the International Classification of Diseases, 11th Revision (ICD–11) is the international standard for systematic recording, reporting, analysis, interpretation and comparison of healthcare mortality and morbidity data. This…

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Prior Authorization included in New Mental Health Parity Proposed Rule

Knowledge Center Prior Authorization included in New Mental Health Parity Proposed Rule July 27, 2023 Written by  by Robert Tennant, VP Federal Affairs, WEDI A Notice of Proposed Rulemaking (NPRM) has been released by the departments of Labor, Health and Human Services and the Treasury entitled “Requirements Related to the Mental Health Parity and Addiction…

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Leveraging FHIR as Medicaid Public Health Emergency Unwinding Commences

Knowledge Center Leveraging FHIR as Medicaid Public Health Emergency Unwinding Commences July 5, 2023 Written by Shane McMillan, Public Sector Technical Lead, Edifecs At the 2023 State HIT Connect event on March 6-8 in Baltimore, Maryland, state Medicaid agencies gathered to discuss the most pressing issues facing the industry. At the top of the list…

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Remembering Our Heritage: Asian American Pacific Islander (AAPI) Heritage Month

Knowledge Center Remembering Our Heritage: Asian American Pacific Islander (AAPI) Heritage Month May 31, 2023 Written by Michael McNutt, Director of Events & Education Asian American and Pacific Islander individuals and communities have played a significant role in the history and future of health care in the United States. From pioneering medical research to breaking…

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2023 WEDI Workgroup Open House

Knowledge Center 2023 WEDI Workgroup Open House May 19, 2023 Everyday, WEDI members volunteer their time and talent to WEDI workgroups and subworkgroups to provide thoughtful leadership and common-sense approaches that enhance the exchange of clinical and administrative healthcare information. WEDI is proud to present a special showcase for the workgroups to inform the industry…

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Podcast Episode 102: How Payers Are Leveraging Data to Support Health Equity

Knowledge Center Podcast Episode 102: How Payers Are Leveraging Data to Support Health Equity May 12, 2023 This is an excerpt from a discussion from WEDI’s Health Equity Forum earlier this year on how payers are leveraging data to address health disparities, prevent disease and promote health and digital literacy. Guests are Dan Rivas, Senior…

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WEDI Celebrates Patient ID Week

Knowledge Center WEDI Celebrates Patient ID Week May 4, 2023 New Toolkit Promotes Standardized Approach to Patient Matching Written by Article by Robert Tennant, VP Federal Affairs, WEDI Along with many health care organizations, WEDI celebrates May 8 – 12, 2023 as Patient ID Week. The lack of a national, standardized approach to identifying patients…

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National Minority Health Month: Advancements and Opportunities for SDoH Data

Knowledge Center National Minority Health Month: Advancements and Opportunities for SDoH Data April 26, 2023 Written by Samantha Holvey, Director of Workgroups & Communication National Minority Health Month is observed every April to raise awareness regarding health disparities that exist among different racial and ethnic groups in the U.S. According to the Centers for Disease…

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