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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

Fact Sheet: What’s new in Version 8020 X12 TR3s?

September 6, 2024

Fact-Sheet-New-Corrected-Priority-Payer-Name-LoopDownload Put together by the WEDI Remittance Advice and Payment SWG: The new Corrected Payer Name Loop in Version 8020 X12 TR3s is designed to improve the accuracy and efficiency of reporting multiple insurance payers. It offers clear benefits by reducing manual rework, improving member and provider satisfaction, and incentivizing the use of the 835…

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Episode 168: Understanding the Basics of CMS’ Administrative Simplification Enforcement

September 6, 2024

Michael welcomes Paul Anderson (Health Insurance Specialist) and Jamie Lookabill (Technical Advisor, Enforcement Division) with the Centers for Medicare & Medicaid Services to offer an introductory look at the administrative simplification enforcement process. Paul and Jamie offer information on the different types of HIPAA enforcement, how CMS communicates with the industry about enforcement, and the overall enforcement process, from filing a complaint, the use of ASETT (Administrative Simplification Enforcement and Testing Tool), corrective action plans and civil monetary penalties.

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WEDI Letter on the No Surprises Act

September 4, 2024

WEDI submitted a letter to HHS Secretary Becerra on the No Surprises Act issue of including diagnosis codes on Good Faith Estimations and Advanced Explanations of Benefits for insured individuals.

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Episode 167: The Need for Collaboration & Investment to Evolve Healthcare Interoperability. Sponsored by InterSystems

August 30, 2024

This episode is sponsored by InterSystems, the leading provider of AI-enabled data management solutions for industries with complex challenges, including healthcare, financial services, and supply chain and logistics.

Michael welcomes Steven Berkow, Senior Advisor, Value-Based Care with InterSystems. The two discuss Steve’s involvement at WEDI’s Summer Forum in Chicago, where he served as a moderator for the payer panel on the CMS Interoperability and Prior Authorization Rule. The two discussed the challenges and potential solutions for improving interoperability within healthcare data, and the importance of standardizing APIs for healthcare providers.

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Episode 166: Fortifying Healthcare Cybersecurity Measures with Nametag’s Aaron Painter

August 23, 2024

Michael chats with Nametag CEO Aaron Painter on how emerging technology, patient-centric data policies and even remote working is affecting the cybersecurity infrastructure in healthcare. The two discuss the “old school” nature of social engineering attacks and steps that the industry can take to combat threat actors.

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Episode 165: Part 2, Provider Perspective- Implementing the CMS Interoperability & PA Rule

August 16, 2024

From our recently concluded Summer Forum, Part 2 of a discussion with 2 providers working on implementing the CMS Interoperability and PA Rule.

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