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Real-Time Prior Authorization Coverage Requirements Discovery (CRD) Between a Payer and Provider

Knowledge Center Episode 247: The CMS Health Tech Ecosystem: Vision, Value, and How the Industry Can Engage October 12, 2023 Denny Brennan, Executive Director and CEO, Massachusetts Health Data Consortium David Delano, Senior Director of Services, Massachusetts Health Data Consortium MHDC / NEHEN conducted a prototype electronic automated prior authorization DaVinci compliant CRD (Coverage Requirements…

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Prior Authorization: Pure Compliance vs Effective Cost Reduction

Knowledge Center Episode 247: The CMS Health Tech Ecosystem: Vision, Value, and How the Industry Can Engage October 5, 2023 Speaker: Brian Poteet, Product Manager, Prior Authorization, Edifecs   This is a Tech Showcase presented by Edifecs at the 2023 WEDI Summer Forum. Register for the 2023 WEDI National Conference Back to Knowledge Center Categories…

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Implementing Clinical Data Exchange (CDeX) to Support Multiple Payer Use Cases

Knowledge Center Episode 247: The CMS Health Tech Ecosystem: Vision, Value, and How the Industry Can Engage September 28, 2023 Jim Adamson, Business Transformation Manager, Arkansas Blue Cross Blue Shield Lynda Rowe, Senior Advisor Value Based Markets, Intersystems Now more than ever there is an imperative for payers to incorporate clinical data into their overall…

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Payment Models Workgroup – September Meeting

Knowledge Center Episode 247: The CMS Health Tech Ecosystem: Vision, Value, and How the Industry Can Engage September 26, 2023 Guest Speaker: Demitri Plessas, Ph.D., Principal Data Scientist, Edifecs 3 critical issues related to the use of AI in health care Join the Payment Models Workgroup Back to Knowledge Center Categories Comments & Letters Podcasts…

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WEDI Responds to Congress Regarding AI in Health Care

Knowledge Center Episode 247: The CMS Health Tech Ecosystem: Vision, Value, and How the Industry Can Engage September 25, 2023 WEDI has submitted comments to Sen. Cassidy , Ranking Member, Senate Committee on Health, Education, Pensions and Labor, in response to his White Paper entitled “Exploring Congress’ Framework for the Future of AI:  The Oversight…

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Healthcare IT today Bonus Features

Knowledge Center Episode 247: The CMS Health Tech Ecosystem: Vision, Value, and How the Industry Can Engage September 25, 2023 WEDI called to “indefinitely postpone” the No Surprises Act Convening Provider Requirement in a comment letter, given “almost insurmountable challenges” in identifying providers, facilities, and the ability to collect and transfer good faith estimates.  …

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