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2023 WEDI National Conference: Madaket Q&A

Knowledge Center 2023 WEDI National Conference: Madaket Q&A November 1, 2023 Enjoy a sneak peek of Madaket’s session at #WEDInational next week! 2023 WEDI National Conference Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates SDOs & Operating Rules Updates Videos WEDI Blog WEDI in the News WEDI Newsletters WEDI Papers…

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Real-Time Prior Authorization Coverage Requirements Discovery (CRD) Between a Payer and Provider

Knowledge Center Real-Time Prior Authorization Coverage Requirements Discovery (CRD) Between a Payer and Provider October 12, 2023 Denny Brennan, Executive Director and CEO, Massachusetts Health Data Consortium David Delano, Senior Director of Services, Massachusetts Health Data Consortium MHDC / NEHEN conducted a prototype electronic automated prior authorization DaVinci compliant CRD (Coverage Requirements Discovery) implementation project…

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Prior Authorization: Pure Compliance vs Effective Cost Reduction

Knowledge Center Prior Authorization: Pure Compliance vs Effective Cost Reduction October 5, 2023 Speaker: Brian Poteet, Product Manager, Prior Authorization, Edifecs   This is a Tech Showcase presented by Edifecs at the 2023 WEDI Summer Forum. Register for the 2023 WEDI National Conference Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory…

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Implementing Clinical Data Exchange (CDeX) to Support Multiple Payer Use Cases

Knowledge Center Implementing Clinical Data Exchange (CDeX) to Support Multiple Payer Use Cases September 28, 2023 Jim Adamson, Business Transformation Manager, Arkansas Blue Cross Blue Shield Lynda Rowe, Senior Advisor Value Based Markets, Intersystems Now more than ever there is an imperative for payers to incorporate clinical data into their overall enterprise data strategy. Furthermore,…

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Payment Models Workgroup – September Meeting

Knowledge Center Payment Models Workgroup – September Meeting September 26, 2023 Guest Speaker: Demitri Plessas, Ph.D., Principal Data Scientist, Edifecs 3 critical issues related to the use of AI in health care Join the Payment Models Workgroup Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates SDOs & Operating Rules Updates…

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X12 Updates

Knowledge Center X12 Updates September 22, 2023 Speakers: Cathy Sheppard, Executive Director, X12 Tara Rose, Capability Manager, Optum Insight X12’s Proof of Concept (POC) Program was created to verify the expected business benefits of these new versions and transactions are achievable, identify unforeseen obstacles and adjust accordingly, and establish baseline of expected implementation cost. Learn…

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HL7 Da Vinci Updates

Knowledge Center HL7 Da Vinci Updates September 21, 2023 Charles Jaffe, MD, PhD, Chief Executive Officer, HL7 Become a WEDI Insider Back to Knowledge Center Categories Comments & Letters Podcasts Press Releases Regulatory Updates SDOs & Operating Rules Updates Videos WEDI Blog WEDI in the News WEDI Newsletters WEDI Papers & Fact Sheets Recent Posts…

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Answer to Prior Authorization Burden Reduction: Regulation vs. Automation

Knowledge Center Answer to Prior Authorization Burden Reduction: Regulation vs. Automation September 8, 2023 Rajesh “Raj” Godavarthi, Associate Vice President of Technology & Interoperability, MCG Health, Co-Lead for Prior Authorization Burden Reduction Use Cases at the HL7® Da Vinci Project, ONC HITAC Member Daniel Cawood, Product Manager, Interoperability Solutions, MCG Health The session provides market…

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Video: Adopting a FHIR-based approach to Prior Authorization, Presented by InterSystems

Knowledge Center Video: Adopting a FHIR-based approach to Prior Authorization, Presented by InterSystems August 31, 2023 With the currently proposed CMS rule, 0057-P, Advancing Interoperability and Improving Prior Authorization Processes, improving this process has become a hot topic. Yet, looking across the industry, there are still many bespoke solutions that don’t solve for the scalability…

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