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EFT Enrollment Security

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines October 5, 2018 The secure implementation of Electronic Funds Transfer (EFT) Enrollment for payment of health care claims has presented some challenges for health care entities. The purpose of this paper is to recommend best practices to protect the…

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Making Precision Medicine the Standard of Care Part 1 – Clinical & Business Drivers

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines 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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Dental Claims

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines 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 (©…

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Telehealth Modalities

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines 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…

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Barriers to Adoption of the ERA and EFT Transactions

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines 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…

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The Rampant Growth of Cybercrime in Healthcare

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines 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…

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Introduction to Telehealth Codes

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines 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…

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ICD-10-CM Clinical Indicators

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines 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…

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Electronic Payments: Guiding Principles

Knowledge Center Episode 246- Making Accountable Care Work in Long-Term Care: Lessons from the Front Lines 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…

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