Member Newsletter

September 22, 2022

Previous Editions

Federal Updates

RFI Released to Solicit Input on AEOB Requirement of the No Surprises Act.
Melanie Fontes Rainer Tapped as OCR Director-Will Speak at WEDI National Conference.
House Passes Prior Authorization Legislation.
CMS Innovation Center to Host Webinar on Person-Centered Care: Engaging with Beneficiaries, Measuring what Matters.
OIG Publishes Report on Medicare Telehealth Claims During COVID-19.
CISA Requests Public Input on New Cyber Incident Reporting Requirements.
Sequoia Project Releases Final IAS Exchange Purpose Implementation SOP and updated Onboarding and Designation Documents.
405(d) to Host Webinar on the Legal Implications of a Cyber Attack.
Reminder: CMS Now Accepting 2021 MIPS Targeted Review Requests.

Download the Federal Update curated by WEDI Federal Affairs staff

Request for Information; Advanced Explanation of Benefits & Good Faith Estimate for Covered Individuals

The departments of the Treasury, Labor, and Health and Human Services released a request for information to inform future rule-making to implement advanced explanation of benefits and good faith estimate requirements under the No Surprises Act. Comments are due in 60 days (by Nov. 15th).

As a formal advisor to HHS, WEDI has previously submitted recommendations to the HHS Secretary on the No Surprises Act and provides assistance educating impacted stakeholders.

WEDI will hold sessions on this critical RFI at our National Conference (Oct. 25-27)

Download the Request for Information

Did you know WEDI is on YouTube?

Interview with Ron Emerson - Telehealth Awareness Week

Accelerating Patient-Centered Outcomes Research through Synthetic Health Data Generation

In 2019, ONC launched the Synthetic Health Data Project (Project), enabling Synthea™—a synthetic health data generation engine created by MITRE Corporation—to produce high-quality synthetic health data in specific areas, and more varied and plentiful synthetic health records.

Recently the Project built and validated five new modules: Cerebral Palsy, Prescribing Opioids for Chronic Pain and Treatment of Opioid Use Disorder, Sepsis, Spina Bifida, and Acute Myeloid Leukemia. These modules are now part of the gallery of Synthea modules that are freely available for use.

Visit the Project homepage to access the Synthetic Health Data Generation to Accelerate Patient-Centered Outcomes Research Final Report, modules, companion guides, technical guidance and tips for using Synthea and other project materials. Synthea relies on community participation, so efforts to enhance and maintain community-wide stewardship for this open-source and free software are essential to its overall success and continuing usefulness to PCOR stakeholders.

Podcast Episode 80: At-Home Care and How AI is the Key to its Long Term Success: A Conversation with Robin Farmanfarmaian

Listen to the Podcast

Upcoming Events

Virtual Spotlight - Healthy Mothers: Addressing Algorithmic Bias (and More) in Maternal Health

Free for WEDI Members

The U.S. has the worst maternal health rating among all developed countries and data confirms significantly higher pregnancy-related mortality ratios among Black and American Indian/Alaskan Native women. Part of the problem is that scientifically inaccurate stereotypes are perpetuated in tools currently used in obstetric clinical decision making (i.e.VBAC calculator). Register for this webinar to learn about the intricacies of the maternal health crisis, insights from AI, new technologies and solutions.

Virtual Spotlight Series: Operating Rules Updates with CAQH CORE

Free for WEDI Members

October 6

CAQH CORE requested a review from NCVHS of a set of new and updated operating rules for federal adoption. Register to learn from CAQH CORE about their recommendations, what it means moving forward for health care administrative transactions, and share your perspectives regarding these new proposals.

Virtual Spotlight Series: Standards Updates with X12

Free for WEDI Members

October 11

X12 submitted the first in a series of recommendations for advancing the HIPAA version of currently mandated transactions to the National Committee on Vital and Health Statistics (NCVHS). Register to learn more about these recommendations and provide feedback.

Virtual Spotlight Series: Standards Updates with HL7

Free for WEDI Members

October 18th

HL7's Chief Standards Implementation Officer, Dr. Viet Nguyen will provide deep dives on Da Vinci and updates from HL7 FHIR's other accelerators. WEDI members register for free!

Virtual Spotlight Series: Standards Updates with NCPDP

Free for WEDI Members

October 20

The National Council for Prescription Drug Programs (NCPDP) is an ANSI-accredited, standards development organization providing healthcare solutions. Register to provide feedback and learn more about the standards updates from the past year and their 2023 forecast.

WEDI 2022 National Conference

October 25-27

To be held at The American University Washington College of Law

This is a hybrid event, so you will have the opportunity to engage in-person or virtually. If you want to learn about upcoming regulations, standards implementation, and collaborate with colleagues to develop the future of health care data exchange, then register today!

Calendar of Events

September Schedule

Monday	Tuesday	Wednesday	Thursday	Friday
			1 Property & Casualty	2
5	6 Prior Auth	7 Acknowledgments	8 Claims	9 NSA
12 Remittance Advice & Payment	13	14 Privacy & Security Provider Info	15 Claims Status Emerging Tech	16
19	20 Prior Auth	21 Virtual Spotlight	22 Health Equity	23
26	27 Virtual Spotlight Genomics Payment Models	28 Telehealth	29	30

Contact sholvey@wedi.org to get involved in WEDI Workgroups.

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