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

  • Guidance on Implementation of Standard Electronic Attachments for Healthcare Transactions

    by Samantha Holvey | Oct 02, 2017
    This white paper is focused on the business and operational processes of exchanging additional information (Attachments) using the HL7 standards for clinical information and the X12 transaction sets for requesting and receiving the additional information. The detailed technical requirements are not covered in this white paper as the standards development organizations have provided the technical guidance in the standards implementation documents. For definitions of abbreviations, acronyms and other terms used throughout this paper refer to Appendix A of the HL7 CDA R2 Attachment Implementation Guide: Exchange of C-CDA Based Documents, Release 1 – US Realm.

    This white paper will provide the following:
    • An overview of Attachments
    • Resources needed to have a successful implementation of Attachments
    • A review of some of the current processes for requesting and responding to the need for additional information to help understand the challenges
    • Examples of implementation approaches in the industry
    • A review of Electronic Attachment Business flows for Claims, Prior Authorizations and Notification
    • Business use cases and examples
    • A guidance on how to embed additional information within the applicable ASC X12N transaction.
    Guidance on Implementation of Standard Electronic Attachments for Healthcare Transactions White Paper

Featured Articles

The next ICD-10 hurdle: Prepare for payer scrutiny

Sep 29, 2016, 13:17 PM

When the clock struck midnight on October 1, 2015, the healthcare industry shifted from the antiquated ICD-9 disease classification system to the more refined ICD-10. One milestone achieved. Can physicians assume it will be smooth sailing now that one major hurdle has been crossed?

Not quite. There is yet another hurdle to cross in the coming months—navigating the conclusion of the ICD-10 grace period—a year-long moratorium on retrospective denials of unspecified claims. 

CMS announced the grace period after it reached an agreement with the American Medical Association that had advocated for additional delays of ICD-10. During the grace period, which ends October 1, auditors won’t penalize physicians retrospectively for non-specific codes as long as the codes are in the correct family or group. However, this flexibility only pertains to Medicare Part B claims. The grace period doesn’t apply to instances in which a specific code is required for medical necessity purposes.

For more information, visit www.medicaleconomics.modernmedicine.com.

WEDI Premium Members & Sponsors

GE and GE Monogram are trademarks of General Electric Company.