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Virtual Clipboard Definition and Design

Knowledge Center Episode 196: Clean Data, AI, and Interoperability to Eliminate “Pajama Time”. Sandra Johnson, CliniComp May 20, 2015 The purpose of this document is to support an approach for developing a pilot of a Health Benefits and Health Record Mobile Solution (or Virtual Clipboard), sponsored by The Sullivan Institute for Healthcare Innovation, and jointly…

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Interim 837 Changes

Knowledge Center Episode 196: Clean Data, AI, and Interoperability to Eliminate “Pajama Time”. Sandra Johnson, CliniComp April 9, 2015 The purpose of this issue brief is to provide information on changes made in the ASC X12N health care claim transactions between versions 5010 and 6020. These changes may indicate potential future system modifications. Interim 837…

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ICD-10 Milestones

Knowledge Center Episode 196: Clean Data, AI, and Interoperability to Eliminate “Pajama Time”. Sandra Johnson, CliniComp April 2, 2015 The purpose of this document is to provide a high-level framework that organizations can use to model or track their ICD-10 compliance efforts. ICD-10 Milestones Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases…

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Understanding Bundled Payments

Knowledge Center Episode 196: Clean Data, AI, and Interoperability to Eliminate “Pajama Time”. Sandra Johnson, CliniComp March 26, 2015 It is increasingly important for all stakeholders to gain a better understanding of bundled payments. The issue brief defines bundled payments and provides an understanding of the types of bundled payments. Understanding Bundled Payments Back to…

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ICD‐10 Testing for Small Providers

Knowledge Center Episode 196: Clean Data, AI, and Interoperability to Eliminate “Pajama Time”. Sandra Johnson, CliniComp February 24, 2015 This white paper provides a starting point for small physician practices performing ICD- 10 testing. (CMS defines a small physician/provider practice as having one to five physicians providing single or multi-specialty services.) This paper categorizes testing…

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ICD-10 Terminology

Knowledge Center Episode 196: Clean Data, AI, and Interoperability to Eliminate “Pajama Time”. Sandra Johnson, CliniComp January 22, 2015 The purpose of this Issue Brief is to provide an overall definition and understanding of some key terms used in the discussion of ICD-10 testing, implementation and risk management. The intent is to eliminate confusion in…

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Reassociating Healthcare Payments

Knowledge Center Episode 196: Clean Data, AI, and Interoperability to Eliminate “Pajama Time”. Sandra Johnson, CliniComp December 9, 2014 Payments and remittance information can be received in a variety of formats, but still need to go through the reassociation process. Payments can be received via paper check or EFT, remittance advices can be received as…

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NDC Reporting Requirements in Health Care Claims

Knowledge Center Episode 196: Clean Data, AI, and Interoperability to Eliminate “Pajama Time”. Sandra Johnson, CliniComp October 28, 2014 The purpose of this white paper is to provide additional information on how to report National Drug Codes (NDC) and its related information in health care claims when it is known to impact adjudication. NDC Reporting…

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What is the Difference Between a Health Plan and a Payer?

Knowledge Center Episode 196: Clean Data, AI, and Interoperability to Eliminate “Pajama Time”. Sandra Johnson, CliniComp July 24, 2014 The Workgroup for Electronic Data Interchange (WEDI) has conducted ongoing conversations with the Centers for Medicare & Medicaid (CMS) and through those discussions, identified that there are differences in verbiage usage between the terms “health plan”…

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The 2013 WEDI Report

Knowledge Center Episode 196: Clean Data, AI, and Interoperability to Eliminate “Pajama Time”. Sandra Johnson, CliniComp The WEDI Report was published in 1993 and provided a vision for the industry to successfully transition to electronic data interchange standards as a way to bring cost-efficiencies to burdensome administrative processes.  The report led directly to the administrative…

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