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Better data exchange is key to improving patient health outcomes

Knowledge Center Episode 221- From Compliance to Intelligence: CMS-0057-F Progress and the Future of AI in Healthcare: Sponsored by MCG Health 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…

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

Knowledge Center Episode 221- From Compliance to Intelligence: CMS-0057-F Progress and the Future of AI in Healthcare: Sponsored by MCG Health 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…

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Edifecs to Showcase Prior Authorization Solution at WEDI Summer Conference 2023

Knowledge Center Episode 221- From Compliance to Intelligence: CMS-0057-F Progress and the Future of AI in Healthcare: Sponsored by MCG Health 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…

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HBMA: Collaboration & Cooperation

Knowledge Center Episode 221- From Compliance to Intelligence: CMS-0057-F Progress and the Future of AI in Healthcare: Sponsored by MCG Health 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…

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Seven Elements of a Compliance Program

Knowledge Center Episode 221- From Compliance to Intelligence: CMS-0057-F Progress and the Future of AI in Healthcare: Sponsored by MCG Health 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…

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Initially Aggressive on Deadlines, NSA Rollout Becomes Measured

Knowledge Center Episode 221- From Compliance to Intelligence: CMS-0057-F Progress and the Future of AI in Healthcare: Sponsored by MCG Health 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…

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Despite challenges ahead, ONC and industry more aligned than ever

Knowledge Center Episode 221- From Compliance to Intelligence: CMS-0057-F Progress and the Future of AI in Healthcare: Sponsored by MCG Health January 18, 2023 The agency “has had a singular vision from the outset. They’ve gone through multiple administrations that had different perspectives on healthcare – ONC has stayed pretty consistent, driven by bipartisan legislation,”…

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STRUGGLING WITH GFES? REVENUE CYCLE LEADERS WILL SEE NEEDED RELIEF

Knowledge Center Episode 221- From Compliance to Intelligence: CMS-0057-F Progress and the Future of AI in Healthcare: Sponsored by MCG Health December 13, 2022 KEY TAKEAWAYS GFEs need to cover not only the provider’s own services, but those of downstream providers expected to be needed to complete treatment. Enforcement of this part of the No…

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HHS Gives Providers More Time for Good Faith Estimate Compliance

Knowledge Center Episode 221- From Compliance to Intelligence: CMS-0057-F Progress and the Future of AI in Healthcare: Sponsored by MCG Health December 6, 2022 December 06, 2022 – HHS has extended enforcement discretion for the delivery of some good faith estimates (GFEs) under the No Surprises Act, according to new guidance. The guidance released by HHS…

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