WEDI Papers & Fact Sheets
Telehealth Place of Service Coding Paper
EFT and ERA Enrollment Process White Paper
Knowledge Center Episode 264- One Mistake Is All Hackers Need: The Cybersecurity Challenge in Healthcare 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 and EFT, along with…
Read MoreWEDI Prior Authorization Electronic Inquiry: Guiding Principles
Knowledge Center Episode 264- One Mistake Is All Hackers Need: The Cybersecurity Challenge in Healthcare 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 Categories Comments & Letters…
Read MoreReporting Tiered Benefits
Knowledge Center Episode 264- One Mistake Is All Hackers Need: The Cybersecurity Challenge in Healthcare 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 patient care. Both traditional…
Read MoreNo Surprises Act – Good Faith Estimate Use Cases
Knowledge Center Episode 264- One Mistake Is All Hackers Need: The Cybersecurity Challenge in Healthcare 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 to obtain the necessary…
Read MoreFact Sheet: Medicare Telehealth Changes After the PHE
Knowledge Center Episode 264- One Mistake Is All Hackers Need: The Cybersecurity Challenge in Healthcare 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 Medicare beneficiaries. Some of…
Read MoreHealth Equity Terminology Level Setting
Knowledge Center Episode 264- One Mistake Is All Hackers Need: The Cybersecurity Challenge in Healthcare 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 equity. Download the Paper…
Read More2022 WEDI Annual Report
Knowledge Center Episode 264- One Mistake Is All Hackers Need: The Cybersecurity Challenge in Healthcare January 5, 2023 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…
Read MoreElectronic Payments: Guiding Principles
Knowledge Center Episode 264- One Mistake Is All Hackers Need: The Cybersecurity Challenge in Healthcare December 16, 2022 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, compared to…
Read MoreBest Practices for Health Plans that Sub-Contract Creation of the Remittance Advice
Knowledge Center Episode 264- One Mistake Is All Hackers Need: The Cybersecurity Challenge in Healthcare 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…
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