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

WEDI Brief Outlines Challenges to Telehealth Reimbursement

Jan 13, 2017, 13:13 PM

Healthcare providers face many challenges in launching and sustaining a telehealth program – including finding the right CPT codes, if they exist, for reimbursement.

In many cases, a telehealth or telemedicine procedure is so new, a proper definition and guidelines haven’t been written for it yet, the Workgroup for Electronic Data Interchange (WEDI) reports in a new issue brief. Without those definitions, payers won’t reimburse for the service - and if health systems aren’t getting paid for it, they likely won’t use it.

CPT (Current Procedural Terminology) code sets, part of the Healthcare Common Procedure Coding System (HCPCS), are maintained by the American Medical Association’s CPT Editorial Panel and used by the Centers for Medicare & Medicaid Services (CMS) for definition and reimbursement. With terms like telemedicine and telehealth entering the healthcare lexicon over the past two decades, the AMA has been slowly working to refine the codes to include new services. The organization even launched a 50-member Telehealth Services Workgroup in late 2015.

To read more, visit MHealth Intelligence.

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