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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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Despite challenges ahead, ONC and industry more aligned than ever

Knowledge Center Despite challenges ahead, ONC and industry more aligned than ever 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,” adds Rob Tennant, vice president of federal affairs for…

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STRUGGLING WITH GFES? REVENUE CYCLE LEADERS WILL SEE NEEDED RELIEF

Knowledge Center STRUGGLING WITH GFES? REVENUE CYCLE LEADERS WILL SEE NEEDED RELIEF 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 Surprises Act requirement was expected to start January 1,…

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HHS Gives Providers More Time for Good Faith Estimate Compliance

Knowledge Center HHS Gives Providers More Time for Good Faith Estimate Compliance 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 on Friday says that CMS will not begin enforcing…

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How to Balance Third-Party Health App Benefits With Security, Privacy Risks

Knowledge Center How to Balance Third-Party Health App Benefits With Security, Privacy Risks November 29, 2022 Experts from WEDI, the Healthcare Leadership Council, and AHIP discuss the benefits of third-party health apps while weighing privacy and security risks.   Read More Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates SDOs…

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WEDI comments address No Surprises Act, cyber incident reporting

Knowledge Center WEDI comments address No Surprises Act, cyber incident reporting November 29, 2022 Organization renews call for delays in implementing NSA, and it calls for change in defining ransomware attacks as data breaches. The Workgroup for Electronic Data Interchange last week submitted comments to two federal agencies, focusing on the No Surprises Act and…

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WEDI to HHS – Industry lacks standards for No Surprises Act

Knowledge Center WEDI to HHS – Industry lacks standards for No Surprises Act November 14, 2022 Standards and essential workflows are lacking, and a collaborative approach to implementation would increase chances for success, group contends. Read More Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates SDOs & Operating Rules Updates…

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