WEDI Papers & Fact Sheets

Knowledge Center Episode 195- “You Can’t Pour from an Empty Cup.” Forward-Thinking Solutions to Improve Interoperability with Mike O’Neill, Medicasoft February 14, 2020 In dentistry, adoption of the 835 and EFT remains markedly low in comparison to other sectors of the health care industry. This Issue Brief is intended to educate, and to assist, industry…

Knowledge Center Episode 195- “You Can’t Pour from an Empty Cup.” Forward-Thinking Solutions to Improve Interoperability with Mike O’Neill, Medicasoft November 14, 2019 The purpose of this issue brief is to provide information regarding the Center for Medicare & Medicaid Services’ (CMS) Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging program. The program requires actions…

Table 1 provides a list of telehealth resources that the Telehealth Workgroup identified as being useful and informative for the industry. This list is not all inclusive. The Telehealth Workgroup plans to review and update this list semiannually. Please contact the Telehealth Workgroup co-chairs to have additional resources considered for inclusion in the guide.

The purpose of this white paper is to provide a baseline understanding of the models and definitions of health care encounters. Following an overview of encounters, it will explore various models and how data are exchanged between health care plans, payers, providers, and other entities, as well as define commonly used terms related to encounters. This paper will establish a foundation for future work on more detailed reviews of encounter models and identification of data needs.

Knowledge Center Episode 195- “You Can’t Pour from an Empty Cup.” Forward-Thinking Solutions to Improve Interoperability with Mike O’Neill, Medicasoft July 22, 2019 Welcome to “Did You Know?”! In our recent acknowledgement survey, we identified a need to provide an issue brief providing education on some basic misunderstandings related to acknowledgements within HIPAA transaction exchange…

Knowledge Center Episode 195- “You Can’t Pour from an Empty Cup.” Forward-Thinking Solutions to Improve Interoperability with Mike O’Neill, Medicasoft May 20, 2019 The purpose of this paper is to provide guidance and information on the functionality and usage of the Provider Adjustment Segment (PLB) within the electronic remittance advice (ASC X12N 835 transaction) for…

Knowledge Center Episode 195- “You Can’t Pour from an Empty Cup.” Forward-Thinking Solutions to Improve Interoperability with Mike O’Neill, Medicasoft February 5, 2019 The observations, findings and recommendations that follow represent the output of the Council’s three phases of activity. The WEDI Prior Authorization Council Back to Knowledge Center Categories Comments & Letters Podcasts Press…

Knowledge Center Episode 195- “You Can’t Pour from an Empty Cup.” Forward-Thinking Solutions to Improve Interoperability with Mike O’Neill, Medicasoft October 5, 2018 The secure implementation of Electronic Funds Transfer (EFT) Enrollment for payment of health care claims has presented some challenges for health care entities. The purpose of this paper is to recommend best…

Knowledge Center Episode 195- “You Can’t Pour from an Empty Cup.” Forward-Thinking Solutions to Improve Interoperability with Mike O’Neill, Medicasoft October 4, 2018 Leading health care systems, clinical laboratories, vendors and health plans are all increasing their focus on providing precision medicine (PM) through the use of genetic and genomic information. Venture capital funding has…

Knowledge Center Episode 195- “You Can’t Pour from an Empty Cup.” Forward-Thinking Solutions to Improve Interoperability with Mike O’Neill, Medicasoft June 13, 2018 The purpose of this white paper is to provide guidance on how to populate the ASC X12N 005010X224A2 Health Care Claim: Dental (837D) electronic transaction from the data reported on the ADA…