WEDI Papers & Fact Sheets
NACHA Data Security Requirement Updates for Healthcare Entities
Knowledge Center Episode 260- Beyond the Billing Code: Capturing the Clinical Picture 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…
Read MoreFact Sheet: Privacy and Security in Telehealth
Knowledge Center Episode 260- Beyond the Billing Code: Capturing the Clinical Picture 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…
Read MorePrior Authorization Workflow Barriers and Guiding Principles
Knowledge Center Episode 260- Beyond the Billing Code: Capturing the Clinical Picture 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…
Read MoreBest Practices for Secondary EDI Claim Submissions
Knowledge Center Episode 260- Beyond the Billing Code: Capturing the Clinical Picture 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…
Read MoreFact Sheet: Privacy and Security in Telehealth, Security Risk Assessments
Knowledge Center Episode 260- Beyond the Billing Code: Capturing the Clinical Picture 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 MoreFact Sheet: Privacy & Security in Telehealth, Business Associates Agreements
Knowledge Center Episode 260- Beyond the Billing Code: Capturing the Clinical Picture 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 MoreProvider Adjustments (PLB) in the Electronic Remittance Advice (835)
Knowledge Center Episode 260- Beyond the Billing Code: Capturing the Clinical Picture June 22, 2021 This paper will be published in a series of iterations, with updated information being provided in additional appendices. This will allow the WEDI Remittance Advice and Payments Subworkgroup (SWG) to provide information in a timely manner, while keeping all the…
Read MoreFree Virtual Event On-Demand: Ready, Set, Comply; Meeting the Information Blocking Challenge
Knowledge Center Episode 260- Beyond the Billing Code: Capturing the Clinical Picture April 29, 2021 WEDI hosted a day-long examination of the Information Blocking Regulations. Watch on-demand sessions assessing your program, listen to patient advocacy groups on how information blocking will address their day to day healthcare concerns, learn more about the information blocking exceptions…
Read MoreTelehealth and COVID-19 Fact Sheet
Knowledge Center Episode 260- Beyond the Billing Code: Capturing the Clinical Picture March 24, 2021 The onset of the spread of COVID-19 and the declaration of the pandemic in March 2020 spurred interest in implementing telehealth services. Telehealth is a viable and proven modality through which to provide healthcare services to patients. The ability for…
Read MoreUpdated Telehealth Resource Guide
Knowledge Center Episode 260- Beyond the Billing Code: Capturing the Clinical Picture March 2, 2021 The scope of this document is to provide telehealth resources and the goals are to: Provide a convenient place to access various telehealth resources; Identify telehealth resources that are relevant, up-to-date, and represent a diversity of views on the topic;…
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