Skip to content

Best Practices for Health Plans that Sub-Contract Creation of the Remittance Advice

Knowledge Center Best Practices for Health Plans that Sub-Contract Creation of the Remittance Advice September 29, 2022 Providers are experiencing challenges in situations where they have a relationship/contract with a specific health plan (and submit their claims to that health plan), but that health plan then sub- contracts some or all services to a business…

Read More

Integrating Telehealth Data from Standalone Platforms into EHRs

Knowledge Center Integrating Telehealth Data from Standalone Platforms into EHRs September 21, 2022 As the use of telehealth services through standalone platforms becomes more prevalent, there will be an increased need to integrate health data from those platforms into patients’ electronic health records (EHR). This paper will provide an overview of the need to integrate…

Read More

Fact Sheet: Data issues in Clinical Genomics

Knowledge Center Fact Sheet: Data issues in Clinical Genomics March 17, 2022 What can EHR systems do now to support genomics in clinical practice In general, the health care industry struggles to understand how to better incorporate genomics into patient care. Some of these challenges are attributed to the lack of genomic capabilities of electronic…

Read More

2021 WEDI Annual Report

Knowledge Center 2021 WEDI Annual Report February 4, 2022 WEDI was formed in 1991 by then-Secretary of Health and Human Services (HHS) Dr. Louis Sullivan to be a national, multi-stakeholder organization to serve as a voice for the health care industry to improve health information exchange to enhance the quality of care and reduce costs…

Read More

NACHA Data Security Requirement Updates for Healthcare Entities

Knowledge Center NACHA Data Security Requirement Updates for Healthcare Entities November 17, 2021 This paper outlines updates made to the NACHA Operating Rules (Article 1, section 1.6 Security Requirements) regarding security requirements for account numbers used in healthcare claim payments and other electronic payments made by healthcare entities. NACHA Data Security Requirement Updates for Healthcare…

Read More

Fact Sheet: Privacy and Security in Telehealth

Knowledge Center Fact Sheet: Privacy and Security in Telehealth November 10, 2021 The Health Insurance Portability and Accountability Act (HIPAA) requires covered entities (e.g., health care provider, payer, or clearinghouse) to protect PHI they maintain or transmit to other covered entities or business associates. The requirement is to protect PHI in any format, including electronic,…

Read More

Prior Authorization Workflow Barriers and Guiding Principles

Knowledge Center Prior Authorization Workflow Barriers and Guiding Principles October 4, 2021 Based on its discussions, the Prior Authorization Subworkgroup developed a set of guiding principles that will support optimal industry implementation of the X12 278 transactions and help stakeholders achieve increased benefits and cost savings associated with prior authorization automation. If you would like…

Read More

Best Practices for Secondary EDI Claim Submissions

Knowledge Center Best Practices for Secondary EDI Claim Submissions September 27, 2021 Mitigation steps that providers, software vendors, clearinghouses, and health plans can take to reduce consumption of resources at all levels, eliminate questions and confusion, reduce errors, and result in faster and more accurate payments to providers. If you would like to join the…

Read More

Fact Sheet: Privacy and Security in Telehealth, Security Risk Assessments

Knowledge Center Fact Sheet: Privacy and Security in Telehealth, Security Risk Assessments June 23, 2021 A recent WEDI white paper found that privacy and security concerns are obstacles for providers and patients use of telehealth services. As such, the privacy and security of protected health information (PHI) is critical for telehealth’s adoption. A security risk…

Read More

Fact Sheet: Privacy & Security in Telehealth, Business Associates Agreements

Knowledge Center Fact Sheet: Privacy & Security in Telehealth, Business Associates Agreements June 23, 2021 A recent WEDI white paper found that privacy and security concerns are obstacles for providers and patients use of telehealth services. As such, the privacy and security of protected health information (PHI) is critical for telehealth’s adoption. Business associates agreements…

Read More
Scroll To Top