The Weekly

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

Remittance Advice & Payment

Claims Status

Payment Models

Telehealth

Claims

Health Equity

NSA

Edifecs Virtual Spotlight

Sep. 1

Remittance Advice & Payment

Claims Status

Acknowledgments

Property & Casualty

NSA

Privacy & Security

Provider Info

Claims

Remittance Advice & Payment

Prior Auth

Eligibility & Benefits

Attachments

Emerging Tech

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

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

September 26

Re gister - Free

WEDI National Conference

November 6-9

Washington, DC & Virtual

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

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