Member Newsletter

November 17, 2022

Previous Editions

Federal Updates

WEDI Calls on HHS to Delay NSA Data Exchange Requirements.
WEDI Submits Comments to CMS on Burden Reduction.
WEDI Weighs in on CISA’s RFI on Cyber Incident Reporting.
HHS Proposes Modified NCPDP Electronic Transactions.
CMS to Host Listening Session on Modifications to NCPDP Electronic Transactions.
PHE to be Extended Past January 11.
CMS Blog Outlines Agency’s Focus on Data to Advance Health Equity.
ONC Outlines Actionable ways to meet the 2015 Edition Cures Update requirements.
CMS Releases Report on Implementation of its Refreshed Strategic Vision and Objectives.
CMS to Provide Overview of the Quality Payment Program Policies in the CY 2023 PFS Final Rule.

Download the Federal Update curated by WEDI Federal Affairs staff

HITAC Recommendations on ONC Adopted Standards

The report and recommendations are based on the work of the HITAC’s 2022 Adopted Standards Task Force and are responsive to a 21st Century Cures Act (42 U.S. Code § 300jj–13) provision that requires the national coordinator to convene stakeholders to review the existing set of adopted standards and implementation specifications and make recommendations with respect to whether to maintain the use of such standards and implementation specifications; or to phase out such standards and implementation specifications.

Maintain – maintain existing standard as is: 14
Maintain or Phase-Out with Replacement: 4
Phase out and replace with a reference to a more current version and/or alternative: 37
Phase-Out Entirely – phase out without replacement: 0

Full Report

What critical Prior Authorization issue should WEDI tackle next?

Click here to weigh in!

WEDI Submits New Approach for No Surprises Act to HHS and OPM

Webinar

Nov. 18, Noon ET

Prior Auth Automation Implementation:

Where the Rubber Meets the Road

WEDI Comments on CISA’s RFI on Cyber Incident Reporting

Addressing Evolving Health Information Technology Needs in Pediatric Care: Neonatal Abstinence Syndrome (NAS) Informational Resource (IR)

Holiday, Weekend Ransomware Attacks Pose Threats to Healthcare Cybersecurity

Upcoming Events

Free for WEDI Members

Automated Prior Authorization in Real Time for

Payers & Providers

November 29

Prior authorization is one of the last unautomated business processes, yet one of the largest burdens on providers. This has resulted in costly business processes, delayed care, and suboptimal health outcomes. All that is about to change with evolving legislation and technology. By leveraging AI/NLP, X12 278/275, FHIR® standards, and EHR integration, the path to real-time automated prior authorization from the provider’s EHR to the payer’s utilization management is finally within grasp.

WEDI Member Position Advisory Session:

Request for Information, National Directory of Healthcare Providers & Services

December 1

CMS has issued a Request for Information for a proposed national directory of health care providers and services. This would potentially be a national hub for provider information and would be accessible to patients, providers, health plans and others. WEDI will be responding to this RFI and encourages all members to share your perspectives at this important virtual event.

Automating Medical Necessity for Prior Authorization

December 7

Learning Objectives:

Describe the different types of payer criteria used for medical necessity
Identify the opportunities to automate medical necessity criteria
Examine the tactics required to codify medical necessity criteria
Explore one use case to understand how MCG successfully automated the review of medical necessity

WEDI Virtual Spotlight; Lessons Learned from a Ransomware Attack

December 13

Hackers are increasing in sophistication, while the healthcare sector struggles to keep up. Attend our special virtual spotlight looking at lessons learned and best practices regarding ransomware attacks. What can you do to stay vigilante and ahead of the bad actors?

Contact ballder@wedi.org for sponsorship information.

Calendar of Events