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EFT and ERA Enrollment Process White Paper

Knowledge Center Episode 239, Access APIs in Motion: Data Access & Patient Empowerment (Part 2 of 2) February 2, 2024 The enrollment process for EFT and ERA varies widely throughout the industry today.  This document was previously published in 2013 and has been updated to include an overview of enrollment processes for ERA and EFT,…

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Insight into the CMS Interoperability and Prior Authorization Final Rule

Knowledge Center Episode 239, Access APIs in Motion: Data Access & Patient Empowerment (Part 2 of 2) January 29, 2024 Written by Robert Tennant, VP Federal Affairs, WEDI WEDI was pleased to have Alexandra Mugge, the Chief Health Informatics Officer and Director at the Centers for Medicare & Medicaid Services, provide an in-depth walkthrough of…

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Podcast Episode 138: Taking Social Determinants of Health Data from Analysis to Action with SS&C and Bergen New Bridge Medical Center

Knowledge Center Episode 239, Access APIs in Motion: Data Access & Patient Empowerment (Part 2 of 2) January 26, 2024 In this episode, host Matthew convenes a panel of health care industry leaders to explore the significant role of Social Determinants of Health (SDOH) data in transforming community health. Featured on the panel is Brian…

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Simplification Push Yields Major PriorAuthorization Win

Knowledge Center Episode 239, Access APIs in Motion: Data Access & Patient Empowerment (Part 2 of 2) January 25, 2024 Family physicians got several administrative simplification wins in CMS’ Jan. 17 finalization of a long-anticipated prior authorization rule that reflects the AAFP’s staunch advocacy. As the Academy called for following CMS’ December 2022 proposal, the…

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How CMS’ prior authorization rule will affect insurers

Knowledge Center Episode 239, Access APIs in Motion: Data Access & Patient Empowerment (Part 2 of 2) January 23, 2024 The biggest adjustment involves altering processes so prior authorization decisions are automatically embedded into electronic health records. The change will be a dramatic one: Prior authorization represents one of the most manual processes carried out by…

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The Road to Interoperability & Prior Authorization: A CMS Overview

Knowledge Center Episode 239, Access APIs in Motion: Data Access & Patient Empowerment (Part 2 of 2) January 19, 2024 We are pleased to welcome Alexandra Mugge, the Chief Health Informatics Officer and Director at the Centers for Medicare & Medicaid Services, for an in-depth walkthrough of the recently finalized CMS Interoperability and Prior Authorization…

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CMS finalizes rule setting prior authorization deadlines for payers

Knowledge Center Episode 239, Access APIs in Motion: Data Access & Patient Empowerment (Part 2 of 2) January 19, 2024 To combat growing criticism of prior authorization delays by payers, Centers for Medicare & Medicaid Services finalized a rule Wednesday that requires health plans to send prior authorization decisions within three days for urgent requests…

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