Issue Brief

Claim Reporting for Appropriate Use Criteria for Advanced Diagnostic Imaging

Knowledge Center Claim Reporting for Appropriate Use Criteria for Advanced Diagnostic Imaging November 14, 2019 The purpose of this issue brief is to provide information regarding the Center for Medicare & Medicaid Services’ (CMS) Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging program. The program requires actions to be taken by both ordering and rendering…

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Updated Telehealth Resource Guide

Table 1 provides a list of telehealth resources that the Telehealth Workgroup identified as being useful and informative for the industry. This list is not all inclusive. The Telehealth Workgroup plans to review and update this list semiannually. Please contact the Telehealth Workgroup co-chairs to have additional resources considered for inclusion in the guide.

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Did You Know?

Knowledge Center Did You Know? July 22, 2019 Welcome to “Did You Know?”! In our recent acknowledgement survey, we identified a need to provide an issue brief providing education on some basic misunderstandings related to acknowledgements within HIPAA transaction exchange using the ASC X12 Version 005010 (5010). We are providing this education using a brief…

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The Rampant Growth of Cybercrime in Healthcare

Knowledge Center The Rampant Growth of Cybercrime in Healthcare February 8, 2017 This issue brief summarizes cybersecurity topics that were discussed at multi‐ stakeholder cybersecurity roundtables convened in November, 2015 and April, 2016 by the Workgroup for Electronic Data Interchange (WEDI). In follow‐up to a primer published on the anatomy of a cyberattack,2 this issue…

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Introduction to Telehealth Codes

Knowledge Center Introduction to Telehealth Codes December 21, 2016 The purpose of this issue brief is to provide introductory information on codes for telehealth services, development of codes for telehealth services, and challenges with telehealth coding. Introduction to Telehealth Codes Back to Knowledge Center Categories Articles Comment Letters Issue Brief Press Releases Uncategorized White Paper…

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ICD-10-CM Clinical Indicators

Knowledge Center ICD-10-CM Clinical Indicators October 21, 2016 Section I (Conventions) of the 2017 ICD-10-CM Official Guidelines for Coding and Reporting includes a new guideline number 19 titled “Code assignment and Clinical Criteria”. This guideline states “The assignment of a diagnosis code is based on the provider’s diagnostic statement that the condition exists. The provider’s…

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Innovative Encounters: A Primer

Knowledge Center Innovative Encounters: A Primer July 19, 2016 The purpose of this issue brief is to provide a baseline understanding of innovative encounters and telehealth in today’s health care system. A WEDI definition of telehealth will be established. An overview will be provided about the delivery of telehealth, including who provides the services, what…

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Testing Lessons Learned from ICD-10

Knowledge Center Testing Lessons Learned from ICD-10 April 29, 2016 The ICD-10 migration was by most accounts highly successful despite its enormity of scope and effort. Testing was an integral part of this success. Many of the lessons learned from this effort can be applied to implementation of future mandates. The information collected in this…

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Setting the Stage for Innovative Encounters

Knowledge Center Setting the Stage for Innovative Encounters March 15, 2016 The purpose of this issue brief is to provide a summary of the Report as it pertains to innovative encounters and set the stage for the work of the Innovative Encounters Workgroup. Setting the Stage for Innovative Encounters Back to Knowledge Center Categories Articles…

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Issues and Trends in Electronic Genomic Data Exchange

Knowledge Center Issues and Trends in Electronic Genomic Data Exchange October 4, 2015 This paper provides an overview of key issues to enable stakeholder discussion around the standards, protocols, work- flow processes and strategies that will be required to access, exchange, store and integrate genomic data, as well as the associated business, clinical, legal, technical…

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