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EFT and ERA Enrollment Process White Paper

Knowledge Center Episode 252: Part 2 of 2- The State of Interoperability Today: How EHRs are Enabling CMS 0057F February 2, 2024 The enrollment process for EFT and ERA varies widely throughout the industry today.  This document was previously published in 2013 and has been updated to include an overview of enrollment processes for ERA…

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WEDI Prior Authorization Electronic Inquiry: Guiding Principles

Knowledge Center Episode 252: Part 2 of 2- The State of Interoperability Today: How EHRs are Enabling CMS 0057F October 16, 2023 The purpose of this document is to offer guidance across stakeholder groups to support the increased utilization and maximal efficiency of electronic prior authorization (PA) inquiry transactions. Download Paper Back to Knowledge Center…

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Reporting Tiered Benefits

Knowledge Center Episode 252: Part 2 of 2- The State of Interoperability Today: How EHRs are Enabling CMS 0057F June 5, 2023 Tiered benefits can have different meanings or be defined differently by payers and providers. They may interpret the data they exchange differently, as well as how that information could be applied when delivering…

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No Surprises Act – Good Faith Estimate Use Cases

Knowledge Center Episode 252: Part 2 of 2- The State of Interoperability Today: How EHRs are Enabling CMS 0057F May 5, 2023 Claims Subworkgroup & No Surprises Act Task Group These use cases describe common scenarios for which the Good Faith Estimate would be used. The purpose is to illustrate the business workflow steps required…

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Fact Sheet: Medicare Telehealth Changes After the PHE

Knowledge Center Episode 252: Part 2 of 2- The State of Interoperability Today: How EHRs are Enabling CMS 0057F April 24, 2023 Since the public health emergency (PHE) related to the COVID-19 pandemic began in 2020, the Centers for Medicare & Medicaid Services (CMS) issued a series of waivers and flexibilities for telehealth services for…

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Health Equity Terminology Level Setting

Knowledge Center Episode 252: Part 2 of 2- The State of Interoperability Today: How EHRs are Enabling CMS 0057F March 15, 2023 To focus this work so we are all “rowing in the same direction,” we need to have a mutual understanding of the terms and their definitions that make up the language of health…

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