WEDI is a nonprofit organization focused on the use of health IT to improve healthcare information exchange enhancing quality
of care, improving efficiency and reducing costs.

"I’d like to extend my congratulations to WEDI
for their continued industry leadership and vision
in tackling healthcare’s most challenging issues."

Aneesh Chopra
The 1st Chief Technology Officer
United States

  • Prior Authorization Council White Paper

    In the spring of 2017, in response to WEDI member input and WEDI leadership participation at a number of industry forum sessions, including an event sponsored by HIMSS, the WEDI Board of Directors chartered the Prior Authorization Council (PAC) to create a forum for communication between primary stakeholders in the Prior Authorization process.

    The organizations holding membership in the WEDI Prior Authorization Council are as follows:
     •  American Medical Association
     •  America's Health Insurance Plans
     •  Blue Cross Blue Shield Association
     •  Council for Affordable Quality Healthcare
     •  The Cooperative Exchange
     •  Healthcare Administrative Technology Association
     •  Health Information Management Systems Society
     •  HL7
     •  Medical Group Management Association
     •  National Council for Prescription Drug Programs
     •  WEDI Prior Authorization Sub Work Group
     •  X12

    WEDI has statutory standing to advise the Secretary of the Department of Health and Human Services (HHS) on matters related to the use of electronic transactions in health care. As such, the intent of the PAC was to survey the work being done by key industry stakeholders and pull together a body of information regarding the state of the prior authorization process as currently implemented between US payers and providers. That body of information will inform any testimony or advice that WEDI provides to the Secretary.

    The observations, findings and recommendations that follow represent the output of the Council’s three phases of activity.

Featured Articles

EHR Vendor Help Needed for Prior Authorization Improvement

Mar 5, 2019, 12:27 PM

The Workgroup for Electronic Data Interchange (WEDI) will be calling on the EHR vendor community for prior authorization improvement.

“Based upon the findings of the Prior Authorization Council (PAC) process, and in conjunction with the WEDI leadership, the PAC is endorsing a targeted effort to engage the EHR vendor community,” the non-profit user group stated in a recent industry white paper.

“The goal of the effort is to elicit a commitment on the part of EHR vendors to implement a single order entry workflow that supports the full automation of the industry prior authorization process. The workflow should be able to interface directly with payers and third-party intermediaries to create the capability for a standards-based digital dialogue between payers and providers.”

To read the full article visit, RevCycleIntelligence.

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