Knowledge Center

Knowledge Center This white paper provides a starting point for small physician practices performing ICD- 10 testing. (CMS defines a small physician/provider practice as having one to five physicians providing single or multi-specialty services.) This paper categorizes testing tasks under who, what, where, when, why and how categories. It focuses on providers’ external testing with…

Knowledge Center The purpose of this Issue Brief is to provide an overall definition and understanding of some key terms used in the discussion of ICD-10 testing, implementation and risk management. The intent is to eliminate confusion in the use of these terms in ongoing discussions and in other work products.

Knowledge Center Payments and remittance information can be received in a variety of formats, but still need to go through the reassociation process. Payments can be received via paper check or EFT, remittance advices can be received as a paper EOB, or as an electronic 835 file. This paper will address the reassociation process of…

Knowledge Center The purpose of this white paper is to provide additional information on how to report National Drug Codes (NDC) and its related information in health care claims when it is known to impact adjudication.

Knowledge Center The Workgroup for Electronic Data Interchange (WEDI) has conducted ongoing conversations with the Centers for Medicare & Medicaid (CMS) and through those discussions, identified that there are differences in verbiage usage between the terms “health plan” and “payer”. By and large, the healthcare industry tends to use the terms “health plan” and “payer”…

Knowledge Center This implementation guide specifies WEDI Health Identification Card Implementation of the American National Standard, Identification Cards—Health Care Identification Cards, INCITS 284 as revised. INCITS is accredited by ANSI. This Guide specifies uniform information, appearance, and technology.