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Edifecs to Speak on the Power of Artificial Intelligence at 2023 WEDI National Conference

Knowledge Center Edifecs to Speak on the Power of Artificial Intelligence at 2023 WEDI National Conference November 6, 2023 BELLEVUE, Wash.–(BUSINESS WIRE)–Edifecs, Inc., a global health information technology solutions company, is participating in multiple sessions at the Workgroup for Electronic Data Interchange (WEDI) 2023 National Conference Nov. 6-9 in Washington D.C. Dr. Summerpal Kahlon, M.D.,…

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Healthcare IT today Bonus Features

Knowledge Center Healthcare IT today Bonus Features 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.   Healthcare IT today Bonus Features Back to Knowledge Center Categories…

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Healthcare Orgs Address Price Transparency, 340B Policies in OPPS

Knowledge Center Healthcare Orgs Address Price Transparency, 340B Policies in OPPS September 15, 2023 Hospital and specialty groups are urging CMS to amend aspects of the CY 2024 Outpatient Prospective Payment System (OPPS) proposed rule, including 340B Drug Pricing Program policies and price transparency requirements. The American Hospital Association (AHA), Workgroup for Electronic Data Interchange…

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Better data exchange is key to improving patient health outcomes

Knowledge Center Better data exchange is key to improving patient health outcomes August 31, 2023 Interoperability and related compliance mandates are not new, though the landscape is ever changing. Without these two key components, progress is at stake. No one wants to return to the Wild West of health data and record keeping. Fortunately, the…

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Congress Proposes Relief on Prior Authorization, but CMS is Ahead of the Game

Knowledge Center Congress Proposes Relief on Prior Authorization, but CMS is Ahead of the Game August 22, 2023 A couple of new bills, or rather, retreads of old bills, demonstrate increased congressional interest in reforming prior authorization (PA) under Medicare Advantage (MA). The Price Transparency bill’s Title III section (“Establishing Requirements with Respect to the…

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Edifecs to Showcase Prior Authorization Solution at WEDI Summer Conference 2023

Knowledge Center Edifecs to Showcase Prior Authorization Solution at WEDI Summer Conference 2023 July 31, 2023 -Edifecs, Inc., a global health information technology solutions company, is participating in multiple sessions at the virtual Workgroup for Electronic Data Interchange (WEDI) 2023 Summer Conference, August 1 – 2. Kevin Day, principal business advisor at Edifecs, and AVP…

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HBMA: Collaboration & Cooperation

Knowledge Center HBMA: Collaboration & Cooperation April 26, 2023 Featured Article by Robert Tennant, VP Federal Affairs, WEDI For nearly 30 years, the Workgroup for Electronic Data Interchange (WEDI) has been an instrumental force in igniting public-private partnerships to empower meaningful changes in the American healthcare system. The Biden Administration has released numerous regulations impacting…

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Seven Elements of a Compliance Program

Knowledge Center Seven Elements of a Compliance Program April 4, 2023 The Background to the Seven Elements In 1991, the Department of Health and Human Services (HHS) launched the Workgroup for Electronic Data Interchange (WEDI). WEDI had the objective of reducing administrative costs in the healthcare system by promoting electronic claims submission. It achieved its…

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Healthcare and technology groups support proposed interoperability and prior authorization rule

Knowledge Center Healthcare and technology groups support proposed interoperability and prior authorization rule March 14, 2023 MGMA and WEDI want the CMS provisions implemented before the current proposed date of January 1, 2026. MGMA, the Medical Group Management Association and WEDI, the Workgroup for Electronic Data Interchange, both said they favor the inclusion of Medicare…

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Initially Aggressive on Deadlines, NSA Rollout Becomes Measured

Knowledge Center Initially Aggressive on Deadlines, NSA Rollout Becomes Measured March 7, 2023 By MATTHEW ALBRIGHT If the NSA-implementing agencies could plot out and publish their plan for adopting standards, publishing regulations, and setting new compliance dates for the NSA AEOB and provider directory requirements, it would help tremendously to level set on expectations and…

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