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Agencies release a final rule for No Surprises Act

Knowledge Center Agencies release a final rule for No Surprises Act August 26, 2022 The update includes guidance on how entities conducting independent reviews of disputes about charges can resolve differences. Three federal agencies have released a final rule updating several key provisions of the No Surprises Act. The No Surprises Act establishes patient protections against…

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Avoid Surprises by Staying Abreast of Surprise Billing

Knowledge Center Avoid Surprises by Staying Abreast of Surprise Billing August 19, 2022 CMS regulations and accompanying surprise billing updates are changing faster than revenue cycle leaders can keep up. Read the Article Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates SDOs & Operating Rules Updates WEDI Blog WEDI in…

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WEDI submits letter to CMS on virtual credit card concerns

Knowledge Center WEDI submits letter to CMS on virtual credit card concerns August 17, 2022 The Workgroup for Electronic Data Interchange is warning that the use of virtual credit cards by healthcare payers to make payments to providers, while mitigating some fraud issues, can cause problems for providers that are out of a plan’s network…

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No Surprises Act compliance: Sizing up the challenges

Knowledge Center No Surprises Act compliance: Sizing up the challenges August 11, 2022 By Fred Bazzoli, Editor-in-Chief, HDM A WEDI forum addresses the difficulties in providing consumers with accurate estimates of healthcare expenses in advance of receiving services. The No Surprises Act is based on the premise that cost-conscious consumers who get accurate healthcare price…

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HHS Asked to ‘Expeditiously Address’ GFE Provision

Knowledge Center HHS Asked to ‘Expeditiously Address’ GFE Provision July 29, 2022 A workforce group takes aim at part of the No Surprises Act and asks HHS to act. The Workgroup for Electronic Data Interchange (WEDI) released a letter to HHS regarding the No Surprises Act. The workgroup takes aim at the good faith estimate (GFE) convening…

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CHIME and WEDI Caution Consumers Against Health Information Loss

Knowledge Center CHIME and WEDI Caution Consumers Against Health Information Loss June 24, 2022 A new resource developed by the two groups can be customized to help patients guard their data on third-party health sites. With third-party applications gaining more access to patients’ health information, the College of Healthcare Information Management Executives (CHIME) and the…

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Major Medical Groups Pen Complaints of GFE ‘Convener’ Requirement

Knowledge Center Major Medical Groups Pen Complaints of GFE ‘Convener’ Requirement June 23, 2022 A flurry of stakeholder complaints around the “convener” requirement for good faith estimates (GFE) has put pressure on CMS to take action. Read the article Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates SDOs & Operating…

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No Surprises Act Convening Provider Requirements Create Burden

Knowledge Center No Surprises Act Convening Provider Requirements Create Burden June 20, 2022 The convening provider requirements in the No Surprises Act pose challenges for providers, who would rather delay the obligation until data exchange standards are in place, according to a survey by the Workgroup for Electronic Data Interchange (WEDI). The survey reveals more…

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Friday at Five: Recent Studies, Surveys and Reports

Knowledge Center Friday at Five: Recent Studies, Surveys and Reports June 13, 2022 2022 WEDI No Surprises Act Survey Results The WEDI (@WEDIonline) No Surprises Task Group developed a survey in April, which collected input from 274 industry stakeholders. “While the No Surprises Act includes much needed consumer protections against catastrophic “surprise” bills, it also…

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AMGA Asks CMS to Amend Good Faith Estimate Policy, Guidance

Knowledge Center AMGA Asks CMS to Amend Good Faith Estimate Policy, Guidance June 8, 2022  The good faith estimate policy creates substantial administrative burden for healthcare practices, which could negatively impact patient care, AMGA said. The Workgroup for Electronic Data Interchange (WEDI) also highlighted issues with the policy. The group urged CMS to expand the…

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