Posts by Samantha Holvey
WEDI Announces Winter Conference 2019: Connect, Communicate, Collaborate
Knowledge Center Episode 233- Inside TEFCA: QHIN Leaders on the State of Nationwide Interoperability October 1, 2019 December 2-5 event to connect payers, providers, government regulators and vendors for high-level discussions on best practices and critical issues impacting the ever-evolving health care environment WASHINGTON, DC — October 1, 2019 — The Workgroup for Electronic Data…
Read MoreDid You Know?
Knowledge Center Episode 233- Inside TEFCA: QHIN Leaders on the State of Nationwide Interoperability July 22, 2019 Welcome to “Did You Know?”! In our recent acknowledgement survey, we identified a need to provide an issue brief providing education on some basic misunderstandings related to acknowledgements within HIPAA transaction exchange using the ASC X12 Version 005010…
Read MoreTrusted Exchange Framework and Common Agreement
Knowledge Center Episode 233- Inside TEFCA: QHIN Leaders on the State of Nationwide Interoperability June 17, 2019 As ONC further develops their approach to advancing interoperability, we encourage the collaboration with the Centers for Medicare & Medicaid Services (CMS), as well as industry stakeholders such as WEDI. As an advisor to the Secretary of the…
Read MorePatient Protection and Affordable Care Act
Knowledge Center Episode 233- Inside TEFCA: QHIN Leaders on the State of Nationwide Interoperability May 28, 2019 As an advisor to the Secretary of the Department of Health and Human Services (HHS) and a multi‐stakeholder organization comprised of health plans, providers, vendors and SDOs, WEDI offers the structure for intra‐industry collaboration. WEDI has proven leadership…
Read MoreProvider Adjustments (PLB) in the Electronic Remittance Advice (835)
Knowledge Center Episode 233- Inside TEFCA: QHIN Leaders on the State of Nationwide Interoperability May 20, 2019 The purpose of this paper is to provide guidance and information on the functionality and usage of the Provider Adjustment Segment (PLB) within the electronic remittance advice (ASC X12N 835 transaction) for specific business use cases, as described…
Read MoreThe WEDI Prior Authorization Council
Knowledge Center Episode 233- Inside TEFCA: QHIN Leaders on the State of Nationwide Interoperability February 5, 2019 The observations, findings and recommendations that follow represent the output of the Council’s three phases of activity. The WEDI Prior Authorization Council Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates SDOs & Operating…
Read MoreNCVHS Predictability Roadmap
Knowledge Center Episode 233- Inside TEFCA: QHIN Leaders on the State of Nationwide Interoperability December 4, 2018 In response to the draft recommendations presented at the September 14, 2018 NCVHS meeting, WEDI held a Policy Advisory Group (PAG) to provide a forum for health care industry stakeholders to convene and discuss in detail the draft…
Read MoreEFT Enrollment Security
Knowledge Center Episode 233- Inside TEFCA: QHIN Leaders on the State of Nationwide Interoperability October 5, 2018 The secure implementation of Electronic Funds Transfer (EFT) Enrollment for payment of health care claims has presented some challenges for health care entities. The purpose of this paper is to recommend best practices to protect the security of…
Read MoreMaking Precision Medicine the Standard of Care Part 1 – Clinical & Business Drivers
Knowledge Center Episode 233- Inside TEFCA: QHIN Leaders on the State of Nationwide Interoperability October 4, 2018 Leading health care systems, clinical laboratories, vendors and health plans are all increasing their focus on providing precision medicine (PM) through the use of genetic and genomic information. Venture capital funding has increased exponentially in this space, with…
Read MoreDental Claims
Knowledge Center Episode 233- Inside TEFCA: QHIN Leaders on the State of Nationwide Interoperability June 13, 2018 The purpose of this white paper is to provide guidance on how to populate the ASC X12N 005010X224A2 Health Care Claim: Dental (837D) electronic transaction from the data reported on the ADA Dental Claim Form (© 2012 American…
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