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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



Extensions for ONC and CMS Proposed Rule Comment Periods with Release of Draft TEFCA and FAQs on Patients Right of Access now extended to June 3rd

The U.S. Department of Health and Human Services (HHS) announced it is extending the public comment period by 30 days for two proposed regulations aimed at promoting the interoperability of health information technology (health IT) and enabling patients to electronically access their health information. The new deadline for the submission of comments –June 3, 2019 – will allow additional time for the public to review the proposed regulations.

ONC and CMS Interoperability Proposed Rules:

The comment period deadline for both rules was extended to June 3, 2019

Please visit http://healthit.gov/NPRM to submit your comments on ONC’s proposed rule if you have not already.

Please visit https://www.cms.gov/Center/Special-Topic/Interoperability-Center.html to learn more about CMS’ proposed rule and submit your comments if you have not already

HIPAA Right of Access, Apps, and APIs

The HHS Office for Civil Rights (OCR) issued FAQs about provider liability concerns when a patient exercises their right of access using apps: https://www.hhs.gov/hipaa/for-professionals/faq/health-information-technology/index.html

Trusted Exchange Framework and Common Agreement (TEFCA)

The second draft of the TEFCA, the second draft of the MRTCs, and the first draft of the QHIN Technical Framework were posted athttp://healthIt.gov/TEFCA where you can also submit your comments.

Comments for all three TEFCA documents are due June 17, 2019

Be sure to register for the webinar on April 23, 2019 to learn more

Notice of Funding Opportunity (NOFO): Trusted Exchange Framework Recognized Coordinating Entity (RCE) Cooperative Agreement

Learn about the NOFO at https://www.healthit.gov/topic/onc-funding-opportunities/trusted-exchange-framework-and-common-agreement-recognized

Applications are due June 17, 2019.

  • Provider Adjustments (PLB) in the Electronic Remittance Advice (835)

    The purpose of this paper is to provide guidance and information on the functionality and usage of the Provider Adjustment Segment (PLB) within the electronic remittance advice (ASC X12N 835 transaction) for specific business use cases.

    In this paper, the SWG has looked at the different business use cases of the PLB, issues that commonly appear for those use cases, and provided some best practices to remediate challenges that both payers and providers experience. The initial sections of the document provide some level-setting information about the PLB and its usage, and then each appendix outlines a specific use case, along with challenges and best practices for that use case.


  • How to kill the fax machine in 6 steps

    Thursday, June 13, 2019 (2pm - 3pm US/Eastern)

    A collaborative approach to implementing electronic medical attachments. 

    Despite the lack of a mandated standard, health plans are moving forward with projects to implement electronic medical attachments in an effort to reduce the costs associated with faxing and mailing medical records. The success of these initiatives will ultimately depend on getting providers to stop faxing and start attaching, but adoption shouldn’t be something health plans think about after building the model and rolling it out. Instead, they need to engage with providers and vendors at each phase of the process—from planning to implementation to scaling. 

    Availity’s role at the intersection of provider and payer connectivity has given them unique insight into the challenges and opportunities electronic medical attachments bring to the industry. They’ve been working closely with health plans, providers, and vendors to build a repeatable model for implementing electronic attachments that takes into consideration provider adoption and scalability. In this webinar, you will hear what they’ve learned throughout this process. 

    In this webinar, you will learn: 
    • Why aligning health plan and provider goals is critical 
    • The importance of building provider journey maps and managing expectations 
    • What factors to consider before establishing KPIs 
    • How medical attachments can help lay the foundation for an enterprise clinical gateway model 

Featured Articles

WEDI Issues New Medicare Card Project Readiness Survey

Feb 9, 2018, 10:00 AM
y April 2019, the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 requires the Centers for Medicare & Medicaid Services (CMS) to remove Social Security Numbers from all Medicare cards. A new Medicare Beneficiary Identifier (MBI) will replace the SSN-based Health Insurance Claim Number (HICN) on the new Medicare cards for Medicare transactions like billing, eligibility status, and claim status. CMS plans to have a transition period where patients can use either the HICN or the MBI to exchange data with CMS. The transition period will begin no earlier than April 1, 2018 and run through December 31, 2019.

To read more, visit RCM Answers.

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