The Weekly

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August 21, 2023

Federal Highlights


CMS Halts No Surprises Act IDR Process, Restores Disputes Fee

CMS released an FAQ about the administrative fee for out-of-network providers and group health plans that initiate payment disputes under the No Surprises Act’s IDR process.

FAQ

Next Event


August 31st, 2-3 ET

3 Risk Adjustment Moves to Make Now Given Policy Changes and Compliance Scrutiny

Presented by Edifecs

Free Registration

Knowledge Center


New Video:

August Emerging Tech Meeting with Mike Rapach, President & CEO of CareFirst Health Plan Maryland


New Blog:

Solving for Automated Prior Authorization: Three Things You Need to Know

Learn

August/September Workgroup Schedule

Monday

Tuesday

Wednesday

Thursday

Friday

21

Remittance Advice & Payment

Claims Status

22

Payment Models

23

Telehealth

24

Claims

Health Equity

25

NSA

28

29

30

31

Edifecs Virtual Spotlight

Sep. 1


4

Remittance Advice & Payment

Claims Status

5

6

Acknowledgments

7

Property & Casualty

8

NSA

11

12

13

Privacy & Security

Provider Info

14

Claims

15

18

Remittance Advice & Payment

19

Prior Auth

20

Eligibility & Benefits

Attachments

21

Emerging Tech

22

NSA

Learn more about all the WEDI Workgroups here and contact Sam Holvey if you would like to participate!

Industry Partners


2023 MHDC Executive Forum: The Road to Interoperability

Essentials: Privacy & Consent

September 14

Free to Public - Register


Jefferson 23rd Population Health Colloquium

September 18-20

Learn More


ONC & CMS Joint Event!

Enabling Patient Access to Health Data for Actionable Results

October 18

Learn More

WEDI YouTube Channel

August Emerging Tech Meeting with Mike Rapach, President & CEO of CareFirst Health Plan Maryland

(44 min)

Upcoming Events

3 Risk Adjustment Moves to Make Now Given Policy Changes and Compliance Scrutiny, Presented by Edifecs

August 31

Register - Free


WEDI Virtual Spotlight: Health Care and Artificial Intelligence - Understanding Best Business Practices in an Evolving Industry

September 26

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WEDI National Conference

November 6-9

Washington, DC & Virtual

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WEDI Events Calendar

Federal Update

Curated for you by WEDI staff

  • CMS Halts No Surprises Act IDR Process, Restores Disputes Fee.
  • NIST Releases Draft Version of its CSF 2.0.
  • ONC Opens Comment Period for the 2023 Interoperability Standards Advisory.
  • ONC Reports 83% of Acute Hospitals Collecting SDOH Data.
  • Provider 2022 MIPS Targeted Review Now Available.
  • 2023 LEAP in Health IT Awardees Announced.
  • CMS Modifies ACO REACH Program.
  • Legislation Introduced in House to Modify Medicare APMs.
Full Report

You’ve Implemented FHIR, What’s Next 

How Payers can expand their use of FHIR

InterSystems Article

Industry News


NUHS develops its own healthcare GPT


Calendars don't lie: How health systems can improve provider and patient scheduling


HIMSS EHR Association: New payment models need IT timeline consideration


Ground ambulance billing committee skeptical of IDR process


Researchers Observe 59% Spike in Medical Device Security Vulnerabilities


Lotte Healthcare looks to offer AI-based Alzheimer's diagnosis service

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