WEDI in the News
Simplification Push Yields Major PriorAuthorization Win
Knowledge Center Episode 181: Decoding the Stars- The Power of Star Ratings in Patient-Centered Care with 1upHealth’s Dr. Don Rucker January 25, 2024 Family physicians got several administrative simplification wins in CMS’ Jan. 17 finalization of a long-anticipated prior authorization rule that reflects the AAFP’s staunch advocacy. As the Academy called for following CMS’ December…
Read MoreHow CMS’ prior authorization rule will affect insurers
Knowledge Center Episode 181: Decoding the Stars- The Power of Star Ratings in Patient-Centered Care with 1upHealth’s Dr. Don Rucker January 23, 2024 The biggest adjustment involves altering processes so prior authorization decisions are automatically embedded into electronic health records. The change will be a dramatic one: Prior authorization represents one of the most manual processes…
Read MoreCMS finalizes rule setting prior authorization deadlines for payers
Knowledge Center Episode 181: Decoding the Stars- The Power of Star Ratings in Patient-Centered Care with 1upHealth’s Dr. Don Rucker January 19, 2024 To combat growing criticism of prior authorization delays by payers, Centers for Medicare & Medicaid Services finalized a rule Wednesday that requires health plans to send prior authorization decisions within three days…
Read MoreHealth care organizations praise CMS new rules on prior authorizations, interoperability
Knowledge Center Episode 181: Decoding the Stars- The Power of Star Ratings in Patient-Centered Care with 1upHealth’s Dr. Don Rucker January 17, 2024 On Jan. 17, 2024, the U.S. Centers for Medicare & Medicaid Services (CMS) announced regulations aimed at speeding up the prior authorization (PA) process and promoting greater interoperability. Known as CMS Interoperability…
Read MoreEdifecs to Speak on the Power of Artificial Intelligence at 2023 WEDI National Conference
Knowledge Center Episode 181: Decoding the Stars- The Power of Star Ratings in Patient-Centered Care with 1upHealth’s Dr. Don Rucker November 6, 2023 BELLEVUE, Wash.–(BUSINESS WIRE)–Edifecs, Inc., a global health information technology solutions company, is participating in multiple sessions at the Workgroup for Electronic Data Interchange (WEDI) 2023 National Conference Nov. 6-9 in Washington D.C.…
Read MoreHealthcare IT today Bonus Features
Knowledge Center Episode 181: Decoding the Stars- The Power of Star Ratings in Patient-Centered Care with 1upHealth’s Dr. Don Rucker 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…
Read MoreHealthcare Orgs Address Price Transparency, 340B Policies in OPPS
Knowledge Center Episode 181: Decoding the Stars- The Power of Star Ratings in Patient-Centered Care with 1upHealth’s Dr. Don Rucker September 15, 2023 Hospital and specialty groups are urging CMS to amend aspects of the CY 2024 Outpatient Prospective Payment System (OPPS) proposed rule, including 340B Drug Pricing Program policies and price transparency requirements. The…
Read MoreBetter data exchange is key to improving patient health outcomes
Knowledge Center Episode 181: Decoding the Stars- The Power of Star Ratings in Patient-Centered Care with 1upHealth’s Dr. Don Rucker August 31, 2023 Interoperability and related compliance mandates are not new, though the landscape is ever changing. Without these two key components, progress is at stake. No one wants to return to the Wild West…
Read MoreCongress Proposes Relief on Prior Authorization, but CMS is Ahead of the Game
Knowledge Center Episode 181: Decoding the Stars- The Power of Star Ratings in Patient-Centered Care with 1upHealth’s Dr. Don Rucker August 22, 2023 A couple of new bills, or rather, retreads of old bills, demonstrate increased congressional interest in reforming prior authorization (PA) under Medicare Advantage (MA). The Price Transparency bill’s Title III section (“Establishing…
Read MoreEdifecs to Showcase Prior Authorization Solution at WEDI Summer Conference 2023
Knowledge Center Episode 181: Decoding the Stars- The Power of Star Ratings in Patient-Centered Care with 1upHealth’s Dr. Don Rucker July 31, 2023 -Edifecs, Inc., a global health information technology solutions company, is participating in multiple sessions at the virtual Workgroup for Electronic Data Interchange (WEDI) 2023 Summer Conference, August 1 – 2. Kevin Day,…
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