WEDI Papers & Fact Sheets

Knowledge Center Episode 181: Decoding the Stars- The Power of Star Ratings in Patient-Centered Care with 1upHealth’s Dr. Don Rucker October 16, 2023 The purpose of this document is to offer guidance across stakeholder groups to support the increased utilization and maximal efficiency of electronic prior authorization (PA) inquiry transactions. Download Paper Back to Knowledge…

Knowledge Center Episode 181: Decoding the Stars- The Power of Star Ratings in Patient-Centered Care with 1upHealth’s Dr. Don Rucker June 5, 2023 Tiered benefits can have different meanings or be defined differently by payers and providers. They may interpret the data they exchange differently, as well as how that information could be applied when…

Knowledge Center Episode 181: Decoding the Stars- The Power of Star Ratings in Patient-Centered Care with 1upHealth’s Dr. Don Rucker May 5, 2023 Claims Subworkgroup & No Surprises Act Task Group These use cases describe common scenarios for which the Good Faith Estimate would be used. The purpose is to illustrate the business workflow steps…

Knowledge Center Episode 181: Decoding the Stars- The Power of Star Ratings in Patient-Centered Care with 1upHealth’s Dr. Don Rucker April 24, 2023 Since the public health emergency (PHE) related to the COVID-19 pandemic began in 2020, the Centers for Medicare & Medicaid Services (CMS) issued a series of waivers and flexibilities for telehealth services…

Knowledge Center Episode 181: Decoding the Stars- The Power of Star Ratings in Patient-Centered Care with 1upHealth’s Dr. Don Rucker March 15, 2023 To focus this work so we are all “rowing in the same direction,” we need to have a mutual understanding of the terms and their definitions that make up the language of…

Knowledge Center Episode 181: Decoding the Stars- The Power of Star Ratings in Patient-Centered Care with 1upHealth’s Dr. Don Rucker December 16, 2022 The opportunities for improved efficiency and cost-savings associated with industry adoption of the Automated Clearing House (ACH) Electronic Funds Transfer (EFT) transaction are well established. However, despite having a national standard and…

Knowledge Center Episode 181: Decoding the Stars- The Power of Star Ratings in Patient-Centered Care with 1upHealth’s Dr. Don Rucker September 29, 2022 Providers are experiencing challenges in situations where they have a relationship/contract with a specific health plan (and submit their claims to that health plan), but that health plan then sub- contracts some…

Knowledge Center Episode 181: Decoding the Stars- The Power of Star Ratings in Patient-Centered Care with 1upHealth’s Dr. Don Rucker September 21, 2022 As the use of telehealth services through standalone platforms becomes more prevalent, there will be an increased need to integrate health data from those platforms into patients’ electronic health records (EHR). This…

Knowledge Center Episode 181: Decoding the Stars- The Power of Star Ratings in Patient-Centered Care with 1upHealth’s Dr. Don Rucker March 17, 2022 What can EHR systems do now to support genomics in clinical practice In general, the health care industry struggles to understand how to better incorporate genomics into patient care. Some of these…