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WEDI Federal Update 9.22.25

WEDI Sends NSA Letter to Ways and Means Outlining Challenges with AEOBs. WEDI sent to the House Committee on Ways and Means its letter on the No Surprises Act (NSA) that it sent on September 8 to the Secretaries of the Departments of Health and Human Services (HHS), Labor, and Treasury and Director of the…

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WEDI Federal Update 9.15.25

WEDI Urges Action on No Surprises Act GFE and AEOB Provisions. WEDI sent a letter to the Departments of Health and Human Services (HHS), Labor, Treasury, and the Office of Personnel Management (OPM) outlining critical data exchange issues related to the Good Faith Estimation (GFE) and Advanced Explanation of Benefits (AEOB). Both the GFE and…

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WEDI Federal Update: 9.8.25

X12 Publishes 008060 Versions of HIPAA-Mandated Implementation Guides. Standards Development Organization X12 has published the first of the 008060 versions of the HIPAA-mandated implementation guides. The rest of those 008060 versions will be published over the next few weeks. These updated implementation guides can be viewed in X12’s online viewer, Glass, at  products.x12.org and navigate to…

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WEDI Federal Update 9.2.25

HHS Delegates Authority to OCR to Administer and Enforce Confidentiality of Substance Use Disorder Records. The U.S. Department of Health and Human Services (HHS) Secretary issued a Statement of Delegation of Authority allowing the Office for Civil Rights (OCR) to administer and enforce the “Confidentiality of Substance Use Disorder Patient Records” regulations at 42 CFR…

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WEDI Federal Update: 8.25.25

HHS Publishes Interim Final Rule Updating Compliance Dates for NCPDP Retail Pharmacy Standards. The U.S. Department of Health and Human Services (HHS) published an Interim Final Rule (IFR) updating the compliance and other dates for the National Council for Prescription Drug Programs (NCPDP) Retail Pharmacy Standards and the Medicaid Pharmacy Subrogation Standard. This IFR is…

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WEDI Federal Update: 8.18.25

CMS Innovation Center Posts FAQs on New WISeR Model. The Centers for Medicare & Medicaid Services (CMS) Innovation Center posted new frequently asked questions (FAQs) for the recently-released Wasteful and Inappropriate Service Reduction (WISeR) model. Questions include whether the WISeR model changes Medicare coverage policy, whether it applies to all Medicare items and services, how…

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WEDI Federal Update 8.11.25

WEDI Conference on CMS-0057-F Highlights Critical Industry Issues. WEDI held its annual Summer Forum in Chicago on August 5-6 with over 350 attendees participating in the informative event focused on the Centers for Medicare & Medicaid Services (CMS) Advancing Interoperability and Improving Prior Authorization Processes Final Rule (CMS-0057-F). Attendees also had the special opportunity to…

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