WEDI Papers & Fact Sheets

Knowledge Center Virtual Clipboard Definition and Design 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 supported by the Workgroup for Electronic Data Interchange (WEDI),…

Knowledge Center Interim 837 Changes 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 Changes Back to Knowledge Center Categories Comments & Letters Podcasts Press…

Knowledge Center ICD-10 Milestones 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 Regulatory Updates SDOs & Operating Rules Updates Videos WEDI Blog WEDI in…

Knowledge Center Understanding Bundled Payments 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 Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates…

Knowledge Center ICD‐10 Testing for Small Providers 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 tasks under who, what, where, when, why and how…

Knowledge Center ICD-10 Terminology 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 the use of these terms in ongoing discussions and in other work…

Knowledge Center Reassociating Healthcare Payments 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 a paper EOB, or as an electronic 835 file. This paper…

Knowledge Center NDC Reporting Requirements in Health Care Claims 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 Requirements in Health Care Claims Back to…

Knowledge Center What is the Difference Between a Health Plan and a Payer? 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” and “payer”. By…

Knowledge Center The 2013 WEDI Report 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 simplification provisions in the Health Insurance Portability and Accountability Act…