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Knowledge Center Making Precision Medicine the Standard of Care Part 1 – Clinical & Business Drivers October 4, 2018 Leading health care systems, clinical laboratories, vendors and health plans are all increasing their focus on providing precision medicine (PM) through the use of genetic and genomic information. Venture capital funding has increased exponentially in this…

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Knowledge Center Dental Claims June 13, 2018 The purpose of this white paper is to provide guidance on how to populate the ASC X12N 005010X224A2 Health Care Claim: Dental (837D) electronic transaction from the data reported on the ADA Dental Claim Form (© 2012 American Dental Association). The ASC X12N 005010X224A2 Health Care Claim: Dental…

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Knowledge Center Telehealth Modalities March 13, 2018 The purpose of this white paper is to provide information on the various modes of delivering patient care using telehealth services and technology, including virtual encounters, remote patient monitoring, wearable devices, and integrated care management. Telehealth Modalities Back to Knowledge Center Categories Articles Comment Letters Press Releases White…

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Knowledge Center Guidance on Implementation of Standard Electronic Attachments for Healthcare Transactions November 17, 2017 This whitepaper is intended as a resource to aid the transition from the current, largely manual exchange of health care attachments to a more efficient, electronic process. This white paper is a resource document for implementers to use to help…

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Knowledge Center Barriers to Adoption of the ERA and EFT Transactions September 5, 2017 The purpose of this paper is to identify barriers to implementation of the HIPAA standard Health Care Electronic Funds Transfer (EFT) and Remittance Advice (ASC X12N Health Care Claim Payment/Advice (835) and the NACHA Corporate Credit or Debit Entry Plus Addenda…

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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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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 Press Releases White Papers & Issue Briefs…

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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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Knowledge Center Electronic Payments: Guiding Principles August 23, 2016 The opportunities for improved efficiency and cost-savings associated with industry adoption of the Automated Clearing House (ACH) Electronic Funds Transfer (EFT) transaction are well established. However, despite having a national standard and supporting operating rules, ACH EFT is significantly underutilized by the industry, with the most…

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Knowledge Center Maximizing the Potential of Genomic Information to Improve Care Coordination and Health Outcomes August 23, 2016 Genomic medicine offers the potential to greatly improve medical practice by tailoring the preventive, diagnostic and therapeutic care available to each patient. However, this potential depends on high-quality data that can be readily accessed and applied in…

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