HIT Consultant

DECEMBER 21, 2023

What You Should Know: – Greenway Health, a leading provider of health information technology services, has partnered with Data Dimensions, the largest EDI clearinghouse in the Property and Casualty industry, to launch a game-changing solution for ambulatory care practices.

Ambulatory Care 52

Ambulatory Care Integration Healthcare Providers Healthcare 52

Lexis Nexis

AUGUST 17, 2021

Background – The Electronic Data Interchange (EDI). The first major (and successful) effort to share data among healthcare stakeholders was not called interoperability; it was known as Electronic Data Interchange (EDI). The EDI’s Contribution to Interoperability. It is easy to understand why the data does not flow.

Regulations 52

Regulations Accountability Hospitals Healthcare 52

Lexis Nexis

AUGUST 17, 2021

Background – The Electronic Data Interchange (EDI). The first major (and successful) effort to share data among healthcare stakeholders was not called interoperability; it was known as Electronic Data Interchange (EDI). The EDI’s Contribution to Interoperability. It is easy to understand why the data does not flow.

Regulations 52

Regulations Accountability Healthcare Hospitals 52

HIT Consultant

DECEMBER 26, 2023

Payer health market and administration professionals find themselves with the impossible task of delivering a caliber of experience similar to that of an Uber app with outdated systems that rely on four-decade-old EDI connections and incomplete data, resulting in limited real-time data updates and analytics datasets that are updated monthly.

Healthcare 59

Healthcare Primary Care Accountability Health Technology 59

HIT Consultant

OCTOBER 7, 2021

I have long believed that Electronic Data Interchange (EDI) standards will drive interoperability, as it has historically, across most industry verticals like finance, transportation and manufacturing. Luckily, you may have more support options than you think.

Healthcare 93

Healthcare Nursing Care Transition Accountability 93

NASHP

MARCH 7, 2022

Edie Mayeshiro , Medical Assistance Program Officer, Policy and Program Development Office, Hawaii Department of Human Services. Nicole Comeaux , Director, Medical Assistance Division, New Mexico Department of Human Services. Lisa Lee , Commissioner, Kentucky Department for Medicaid Services.

Medicaid 87

Medicaid Integration Population Health Medical Services 87

Etactics

FEBRUARY 15, 2024

Whenever your team submits a request for reconsideration of a claim, they should be sure to also submit an electronic data interchange (EDI) acceptance report. Submitting Proof of Timely Filing When it comes to timely filing denials, they’re most often upheld because of incomplete documentation accompanying reconsideration requests.

Prevention 52

Prevention Regulations Medicare Healthcare 52

Etactics

AUGUST 30, 2022

Claim Adjudication Process Flowchart Just like with the Electronic Data Interchange (EDI) enrollment process , claim adjudication looks different for every payer. I’ve alluded to this already, but every payer has different EDI enrollment AND adjudication requirements. via Oracle. The flowchart above comes from Oracle Health Insurance.

Healthcare 52

Healthcare Accountability Nursing 52

Etactics

APRIL 11, 2023

Fortunately, there is a little something called EDI that can help you clean claims, make sure there aren’t any errors, and get them submitted to the payer on time. If you would like to implement EDI to avoid denials, contact Etactics or click here. At the end of the day, nobody likes having to rework denied claims.

Prevention 52

Prevention Doctors Medicare Nursing 52

HIT Consultant

FEBRUARY 6, 2023

About Rob Stuart Rob Stuart is the founder and president of Claim.MD, a leading electronic data interchange (EDI) clearinghouse helping to streamline the billing and collection process for providers, payers and software vendors.

Ambulatory Care 52

Ambulatory Care Primary Care Hospitals Healthcare 52

Etactics

OCTOBER 27, 2022

You may want to call the insurance company and ask them about their EDI Payer ID. Make sure that the EDI Payer ID matches the one in your system before adjusting the information in the claim. You could’ve sent the claim to the wrong payer. You need to make sure you’re submitting to the correct insurance company.

Doctors 52

Doctors Rehabilitation Nursing Hospitals 52

Lexis Nexis

AUGUST 24, 2021

Like the Electronic Data Interchange (EDI), there were standards created, a (partial) government mandate, armies of new “clinical informatists,” enormous expense software changes, and the creation of a new “interoperability” industry. Through the years of initial formats, including the HL7 2.0 formats (CCDX), and the HL7 3.0

Healthcare 52

Healthcare Integration 52

Lexis Nexis

AUGUST 24, 2021

Like the Electronic Data Interchange (EDI), there were standards created, a (partial) government mandate, armies of new “clinical informatists,” enormous expense software changes, and the creation of a new “interoperability” industry. Through the years of initial formats, including the HL7 2.0 formats (CCDX), and the HL7 3.0

Healthcare 52

Healthcare Integration 52

Healthcare Leadership

NOVEMBER 18, 2022

Or is it EDI or IDE? It is amusing to see the many titles given to inclusion, equity, diversity, racial equity and social justice positions and policies. There are Diversity, Equity and Inclusion (DEI) managers and departments.

Primary Care 59

Primary Care Regulations Accountability Hospitals 59

Lexis Nexis

AUGUST 31, 2021

Thus, “new” interoperability based on the Patient Access API addresses the failures of previous efforts: it has an excellent format with mandated broad access that will delivery strong business value.

Healthcare 52

Healthcare Doctors Healthcare Providers Hospitals 52

Lexis Nexis

AUGUST 31, 2021

Thus, “new” interoperability based on the Patient Access API addresses the failures of previous efforts: it has an excellent format with mandated broad access that will delivery strong business value.

Healthcare 52

Healthcare Doctors Healthcare Providers Hospitals 52

Etactics

NOVEMBER 3, 2022

As mentioned above, each insurance company has its own EDI enrollment and adjudication requirements. Here’s how. Payer Connections. Clearinghouses have all the software and solutions that any healthcare organization could need. This can cause quite a headache since the majority of patients use different insurance payers.

Healthcare Providers 52

Healthcare Providers Prevention Healthcare Accountability 52

Etactics

SEPTEMBER 1, 2023

Just one year after the inception of HIPAA, Congress started mentioning the need for electronic data interchange (EDI) in healthcare. Healthcare as a whole started heading towards 837 and 837 claims with the inception of the Health Insurance Portability and Accountability Act (HIPAA) in 1999.

Healthcare 52

Healthcare Accountability Healthcare Providers Doctors 52

Vie Healthcare

APRIL 10, 2024

And then when you get confirmations back, usually people are using some form of EDI, which makes it relatively easy, and you can track that. And then when you get confirmations back, usually people are using some form of EDI, which makes it relatively easy, and you can track that. Item A is item A, item B is item B.

Hospitals 52

Hospitals Healthcare Performance improvement Patient Experience 52