Posts by Samantha Holvey
EFT and ERA Enrollment Process White Paper
Knowledge Center EFT and ERA Enrollment Process White Paper 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, along with best practices and model enrollment forms.…
Read MorePodcast Episode 139: Making Healthcare Synchronized, Personalized and Radically Convenient with Patty Hayward, Talkdesk
Knowledge Center Podcast Episode 139: Making Healthcare Synchronized, Personalized and Radically Convenient with Patty Hayward, Talkdesk February 2, 2024 Matthew sits down with Patty Hayward, the General Manager of Healthcare and Life Sciences at Talkdesk, for a deep dive into the pressing issues facing healthcare today. Together, they explore the critical areas where healthcare is…
Read MoreInsight into the CMS Interoperability and Prior Authorization Final Rule
Knowledge Center Insight into the CMS Interoperability and Prior Authorization Final Rule 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 the recently finalized CMS Interoperability…
Read MorePodcast Episode 138: Taking Social Determinants of Health Data from Analysis to Action with SS&C and Bergen New Bridge Medical Center
Knowledge Center Podcast Episode 138: Taking Social Determinants of Health Data from Analysis to Action with SS&C and Bergen New Bridge Medical Center 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.…
Read MoreSimplification Push Yields Major PriorAuthorization Win
Knowledge Center Simplification Push Yields Major PriorAuthorization Win 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 final rule will expand and strengthen the electronic prior…
Read MoreHow CMS’ prior authorization rule will affect insurers
Knowledge Center How CMS’ prior authorization rule will affect insurers 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 health insurers, according to a 2022 survey…
Read MoreThe Road to Interoperability & Prior Authorization: A CMS Overview
Knowledge Center The Road to Interoperability & Prior Authorization: A CMS Overview 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 Final Rule (CMS-0057). WEDI has…
Read MoreCMS finalizes rule setting prior authorization deadlines for payers
Knowledge Center CMS finalizes rule setting prior authorization deadlines for payers 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 and seven days for standard requests…
Read MorePodcast Episode 137: The Power of Community – A Chat with Shweta Maniar, Global Director, Healthcare & Life Sciences, Google
Knowledge Center Podcast Episode 137: The Power of Community – A Chat with Shweta Maniar, Global Director, Healthcare & Life Sciences, Google January 19, 2024 Michael is joined by Shweta Maniar, who heads up Healthcare & Life Sciences at Google. Shweta opens up about how her formative years of volunteering molded her perspective on the…
Read MoreHealth care organizations praise CMS new rules on prior authorizations, interoperability
Knowledge Center Health care organizations praise CMS new rules on prior authorizations, interoperability January 17, 2024 On Jan. 17, 2024, the U.S. Centers for Medicare & Medicaid Services (CMS) announced regulations aimed at speeding up the prior authorization (PA) process and promoting greater interoperability. Known as CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F), there…
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