Posts by Dave Anderson

Knowledge Center WEDI Provides Comments on CMS and ONC Implementing Final Provisions of the 21st Century Cures Act March 11, 2020 WEDI, the nation’s leading nonprofit authority on the use of health IT to create efficiencies in health care information exchange and a statutory advisor to the U.S. Department of Health and Human Services (HHS),…

Knowledge Center Prisoners of Paperwork: Facing up to true interoperability of healthcare data, payments February 18, 2020 During the signing ceremony for the Health Insurance Portability and Account- ability Act of 1996 (HIPAA), President Bill Clinton pointed out that the legislation provides for the development of “national standards for the electronic submission of health insurance…

Knowledge Center CAQH CORE approves 2-day limit for health plans to act on prior authorizations February 4, 2020 A group that represents multiple industry stakeholders has voted to set a two-day time limit on how quickly health plans must act on prior authorizations. CAQH CORE, a group that includes 110 organizations representing health plans, providers, vendors and…

Knowledge Center Prior authorizations are a pain point for both doctors and patients, survey finds January 30, 2020 A major pain point for physicians is also one—sometimes literally—for patients. In separate recent surveys, 84% of providers reported the number of medical services that require prior authorization has increased, as well as the cost for physician practices, which also continued to increase—up…

Knowledge Center More medical services now require prior authorizations, according to physicians January 28, 2020 In a recent survey, 84% of providers reported the number of medical services that require prior authorization has increased. And 62% of providers reported that they do not have the technology to evaluate whether a prior authorization is required for a medical…

Knowledge Center WEDI: Tech limitations, lack of adoption and standards causing prior auth issues January 26, 2020 The use of technology has made limited inroads in reducing the impact of prior authorization, even as requests for this documentation increases, according to a national group’s recent survey. WEDI—the Workgroup for Electronic Interchange—says its research suggests that…

Knowledge Center WEDI Connection: December 2019 December 19, 2019 To read the full monthly WEDI Connection Newsletter, visit the December Newsletter. Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates SDOs & Operating Rules Updates Videos WEDI Blog WEDI in the News WEDI Newsletters WEDI Papers & Fact Sheets Recent Posts…