The Weekly

8/11/2025

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Federal Update


WEDI Conference on CMS-0057-F Highlights Critical Industry Issues


ASTP/ONC to Host HTI-4 Information Session on August 12.


ASTP/ONC Announces TEFCA Participant Map.


CMS to Conduct Listening Session on Opportunities for Real-Time Claims Processing and EDI Cybersecurity Controls.


HHS and CMS Shares Vision for Health Care.


Senate HELP Committee Holds Hearing on Making Health Care Affordable.

NIST-Led Consortium Issues Draft Software Security Guidelines.


Feds Issue Joint Cybersecurity Advisory on Interlock.

“A Tribute to Leadership"

Award Presentation to Former WEDI President & CEO Charles Stellar at the WEDI Summer Forum in Chicago August 5th.

SAVE THE DATE!

WEDI National November 3-6, 2025

In response to the June 23rd commitment from 50 leading health plans to improving prior authorization, WEDI Executive Director Robert Tennant was quoted: “WEDI appreciates the number of early adopters that have signed this pledge and their commitment to the collaborative work to meet the objectives of the pledge. Seeing the list of diverse and important organizations that have signed this pledge signals a real sea change in how the nation’s health care ecosystem will innovate and advance over the next 12-18 months. We fully support the direction of this pledge and look forward to working with CMS and the ASTP to improve health data exchange and improve the delivery of care to patients and reduce administrative burden for health care stakeholders.”

 
 

SAVE THE DATE!

WEDI National November 3-6, 2025




Sponsorships are available now! Contact WEDI’s Bill Allder for options & pricing.

 

Save 15% with the Early Bird discount through October 3rd!

The next WEDI meeting will feature a collaborative industry discussion addressing the growing challenges surrounding corrected claims and the inconsistent use of Claim Frequency Codes (CFCs “1” – Original vs. “7” – Replacement) in response to partial denials—a problem increasingly impacting providers, especially in the laboratory space.

 

We invite payers, providers, clearinghouses, billing platforms, and standards development organizations to join us in exploring a path forward. Our goal is to define a clear, standardized, and enforceable framework for when and how CFCs should be applied—particularly in cases where only certain lines are denied, but payers require full claim replacements.

 

This is an opportunity to share experiences, identify operational barriers, and contribute to a collective industry solution that reduces unnecessary administrative burden, improves automation, and restores confidence in the claims correction process.

 

Let’s work together to restore consistency, support compliant workflows, and reduce friction across the ecosystem.

 

Tuesday 3PM ET: Continue with reviewing the current 2024 fact sheet and then build the training document off the current version fact sheet.

Thursday 1PM ET: The next Claims SWG meeting will feature a collaborative industry discussion addressing the growing challenges surrounding corrected claims and the inconsistent use of Claim Frequency Codes (CFCs “1” – Original vs. “7” – Replacement) in response to partial denials—a problem increasingly impacting providers, especially in the laboratory space.

Thursday 1PM ET: We will discuss an update around the Direct to consumer DNA genetic testing and privacy collaboration and also we’ll be brainstorming a focus for the fall.

We Need You: Industry Leaders

WEDI members volunteer their time and talent to WEDI workgroups to provide thoughtful leadership and common-sense approaches that enhance the exchange of clinical and administrative health care information. We are seeking additional Workgroup Co-chairs in the following topic areas:

Do you have expertise you can share or an interest in leading industry discussions? Get in touch today!

 
 

WEDI, a national membership association since 1991, advises on health IT policy and implementation, focusing on enhancing health care through efficient data sharing and education across all stakeholders. Learn more about becoming a member here!


Connect, collaborate & communicate for a better health system

 

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