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Incorrectly Routed Payments And Remittance Advice

Knowledge Center Episode 222- Beyond the Chair: Empowering Patients and Providers Through Dental Data Sharing. Steve Roberts, Vyne July 29, 2020 This paper provides education and guidance to payers and providers on situations that occur when electronic healthcare claim payments and/or remittance advice are routed to a receiver incorrectly; for example, using the provider’s Taxpayer…

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Overcoming Barriers to the Broader Adoption of Telehealth

Knowledge Center Episode 222- Beyond the Chair: Empowering Patients and Providers Through Dental Data Sharing. Steve Roberts, Vyne April 9, 2020 Note: This paper was written during 2019 and early 2020 and is a summary of WEDI’s fall 2018 Barriers to the Broader Adoption of Telehealth survey and the industry’s on telehealth adoption between fall…

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Provider Adjustments (PLB) in the Electronic Remittance Advice (835)

Knowledge Center Episode 222- Beyond the Chair: Empowering Patients and Providers Through Dental Data Sharing. Steve Roberts, Vyne March 12, 2020 The purpose of this paper is to provide guidance and information on the functionality and usage of the Provider Adjustment Segment (PLB) within the electronic remittance advice (ASC X12N 835 transaction) for specific business…

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ERA/EFT Reconciliation in Dentistry

Knowledge Center Episode 222- Beyond the Chair: Empowering Patients and Providers Through Dental Data Sharing. Steve Roberts, Vyne February 14, 2020 In dentistry, adoption of the 835 and EFT remains markedly low in comparison to other sectors of the health care industry. This Issue Brief is intended to educate, and to assist, industry stakeholders regarding…

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Claim Reporting for Appropriate Use Criteria for Advanced Diagnostic Imaging

Knowledge Center Episode 222- Beyond the Chair: Empowering Patients and Providers Through Dental Data Sharing. Steve Roberts, Vyne 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…

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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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Understanding the Models and Definitions of Encounters

The purpose of this white paper is to provide a baseline understanding of the models and definitions of health care encounters. Following an overview of encounters, it will explore various models and how data are exchanged between health care plans, payers, providers, and other entities, as well as define commonly used terms related to encounters. This paper will establish a foundation for future work on more detailed reviews of encounter models and identification of data needs.

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Did You Know?

Knowledge Center Episode 222- Beyond the Chair: Empowering Patients and Providers Through Dental Data Sharing. Steve Roberts, Vyne 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…

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Provider Adjustments (PLB) in the Electronic Remittance Advice (835)

Knowledge Center Episode 222- Beyond the Chair: Empowering Patients and Providers Through Dental Data Sharing. Steve Roberts, Vyne May 20, 2019 The purpose of this paper is to provide guidance and information on the functionality and usage of the Provider Adjustment Segment (PLB) within the electronic remittance advice (ASC X12N 835 transaction) for specific business…

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The WEDI Prior Authorization Council

Knowledge Center Episode 222- Beyond the Chair: Empowering Patients and Providers Through Dental Data Sharing. Steve Roberts, Vyne February 5, 2019 The observations, findings and recommendations that follow represent the output of the Council’s three phases of activity. The WEDI Prior Authorization Council Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory…

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