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6 Recommendations for Overcoming No Surprises Act Hurdles

Knowledge Center 6 Recommendations for Overcoming No Surprises Act Hurdles November 11, 2022 Key Takeaways: The No Surprises Act contains provisions that protect patients from surprise medical billing and out-of-network emergency care costs not reimbursed by insurance. Although considered a win for patients, the law (and its many nuances) have put a huge strain on organizations…

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WEDI Calls on HHS to Delay No Surprises Act Data Exchange Requirements

Knowledge Center WEDI Calls on HHS to Delay No Surprises Act Data Exchange Requirements November 10, 2022 WEDI said that HHS should employ a glidepath approach to the No Surprises Act data exchange requirements until the industry has adopted data standards to support GFEs.   Read More Back to Knowledge Center Categories Comments & Letters…

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HHS advisory group submits No Surprises Act data exchange recommendations

Knowledge Center HHS advisory group submits No Surprises Act data exchange recommendations November 10, 2022 The Workgroup for Electronic Data Interchange advisory group yesterday urged Health and Human Services Secretary Xavier Becerra to work closely with standards development organizations and other health care partners to identify and pilot test appropriate No Surprises Act standards, harmonize…

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WEDI highlights challenges in integrating telehealth data into EHRs

Knowledge Center WEDI highlights challenges in integrating telehealth data into EHRs October 19, 2022 More than a third of adults used telehealth services in 2021, and now providers face the hard work of integrating results from standalone platforms. Read More Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates SDOs &…

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WEDI paper seeks to offer guidance on remittance advice

Knowledge Center WEDI paper seeks to offer guidance on remittance advice October 17, 2022 The use of third-party business associates has complicated the resolution of claims communications with providers; standards, communication can help. Click for Article Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates SDOs & Operating Rules Updates Videos…

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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 Videos WEDI Blog WEDI…

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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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