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Knowledge Center

WEDI provides a full suite of resources designed to help organizations better understand and manage health IT.  The Resources section provides access to WEDI’s various tools and library of health IT information.

We strive to make the approval process of our work products as transparent as possible. White papers, issue briefs and surveys must be approved by the Peer Review Committee. Workgroup charters, new workgroups and co-chairs must be approved by the Work Group Leadership Committee. Comment letters and WEDI policies must be approved by the Policy Committee.

Resources

On-Demand: Insight on the Prior Authorization & Attachments Proposed Rules

December 22, 2022

Knowledge Center Featured Speakers: Alexandra Mugge, CMS Viet Nguyen, MD, HL7 Lynda Rowe, InterSystems Daniel Kalwa, CMS Subscribe to WEDI YouTube Channel

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Electronic Payments: Guiding Principles

December 16, 2022

Knowledge Center 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 supporting operating rules, compared to some other transactions ACH EFT is underutilized by the industry, with the most recent 2021 CAQH…

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WEDI Comments on Proposals for Updates to X12 Transactions and New and Updated CORE Operating Rules

December 15, 2022

Knowledge Center WEDI submitted a response to a Request for Comment from the National Committee on Vital and Health Statics entitled: “Proposals for Updates to X12 Transactions and New and Updated CORE Operating Rules.” Download Comment Letter

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STRUGGLING WITH GFES? REVENUE CYCLE LEADERS WILL SEE NEEDED RELIEF

December 13, 2022

Knowledge Center KEY TAKEAWAYS GFEs need to cover not only the provider’s own services, but those of downstream providers expected to be needed to complete treatment. Enforcement of this part of the No Surprises Act requirement was expected to start January 1, 2023, but has now been delayed until further notice. Read More

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CMS Releases Interoperability and Prior Authorization Proposed Rule

December 7, 2022

Knowledge Center The Centers for Medicare & Medicaid Services (CMS) has released the Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule. With this rule, the Agency seeks to improve patient and provider access to health information and streamline processes related to prior authorization. The rule includes proposals requiring implementation of a Health Level 7® (HL7®) Fast…

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HHS Gives Providers More Time for Good Faith Estimate Compliance

December 6, 2022

Knowledge Center December 06, 2022 – HHS has extended enforcement discretion for the delivery of some good faith estimates (GFEs) under the No Surprises Act, according to new guidance. The guidance released by HHS on Friday says that CMS will not begin enforcing the No Surprises Act requirement that healthcare providers deliver GFEs to uninsured and…

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