The Weekly

10/6/2025

LinkedIn  YouTube  X
 

WEDI is conducting this follow up survey on the Centers for Medicare & Medicaid Services (CMS) Interoperability and Prior Authorization Final Rule (CMS-0057-F), and we need your help! This short survey will gauge how the industry is implementing this regulation. Don’t miss this important opportunity to share your perspectives on this significant industry mandate.


Individual survey responses are kept anonymous, and data are only reported in aggregate. Survey data will be used to develop feedback and recommendations to CMS, inform stakeholders on implementation challenges and costs, and assist WEDI in developing education and resources for successful implementation. Please complete the survey by Oct. 29.

Federal Update


OCR Settles HIPAA Investigation of PHI Disclosure by Delaware Provider.


ASTP Awards 2025 LEAP Health IT Projects.


ASTP Highlights Success of TEFCA in Improving Government Benefits Determination.


CMS Innovation Center Releases Data and Evaluations of Value Based Care Models.


NQF Seeks Public Comment on AI in Healthcare Quality Measurement Report, Deadline October 15.


CISA Announces Transition to New Model for Commitment with SLTT Governments.


CISA and Partners Release New Joint Cybersecurity Guidance.



Living HHS Open Data Plan and Refreshed HealthData.gov Now Available.

Michael welcomes Raj Godavarthi, MCG’s AVP of Technology and Interoperability to discuss industry progress on payer-provider compliance work on the CMS Final Rule (CMS-0057-F). After that, Michael addresses artificial intelligence (AI) with Dr. Jason Gillman, MCG’s Director of Clinical Informatics. Dr. Gillman is currently involved in the NCQA AI Governance workgroup, and he’s MCG’s representative in the “Clinical Decision Support” workgroup at the Coalition of Health AI (or CHAI). This podcast is sponsored by MCG Health, which offers evidence-based clinical guidelines and software tools for healthcare providers and payers. These resources aim to optimize patient care and support care management. Learn more about MCG here.

Click HERE to listen

 

2025 WEDI National Conference

Pre-Conference October 31st, 2025 VIRTUAL

November 3rd-6th, 2025


WEDI’s National Conference returns to the nation's capital this November, bringing together health care's most influential voices to explore the evolving landscape of health information exchange. For nearly three decades, WEDI’s annual gathering has served as a trusted forum for discovering best practices, spotlighting innovative solutions, and addressing the most pressing challenges in health IT.



Have you heard about our Group Registration? For ONE price every employee of your organization can attend the conference—whether for a single session, a day, or the entire event!

The Following Webinars are Free to the Industry

 

Can’t make the live events? Register and we’ll send you the recording!

 

Monday 10/6, 11AM: The Remittance Advice and Payment SWG will begin review of a new Fact Sheet on the new Tooth segment.

Wednesday 10/8, 2PM: Join the Privacy & Security WG for a special Spotlight session: Cyber Resilience and Business Impact in Health Care: Becoming a Cyber Resilient Organization with guest speaker, Theresa Lanowitz. More info below.

Thursday 10/9, 11AM: Join us to discuss Hot Topics in the Industry and work on/review our fact sheets.

Thursday 10/9, 1PM: This month at the Genomics Workgroup meeting we’ll start to review the topic of unique billing identifiers for genetic testing (the Z code used in Medicare and some commercial payers and the GTU). WEDI members with an interest in claims or billing are encouraged to join!

Friday 10/10, 1PM: The No Surprises Act TG will continue working on the survey of GFE implementation. 

Upcoming Workgroup Special Events - Open to WEDI Members Only

 

Cyber Resilience and Business Impact in Health Care: Becoming a Cyber Resilient Organization

Wednesday October 8th, 2 PM - 3 PM

Join the WEDI Privacy and Security Workgroup co-chairs, Lesley Berkeyheiser (DirectTrust) and Thanh-Thien Nguyen (Kaiser Permanente) as they welcome guest speaker Theresa Lanowitz. Theresa is a globally recognized cybersecurity leader, former Gartner analyst, and former Chief Cybersecurity Evangelist with AT&T Cybersecurity and LevelBlue. She is the creator of Executive-led Growth, a strategy that emphasizes the importance of business understanding in the cybersecurity market. The session will focus on how health care organizations can determine the best course for adopting new technologies and balancing the ability to remain cyber resilient. The three will discuss how forward-thinking organizations align cybersecurity with business goals to improve innovation, trust, and ensure long-term success.

AI Agents Transforming Value-Based Care

Thursday October 16th, 3 PM - 4 PM

Join us for an insider's look at the cutting-edge Artificial Intelligence technology reshaping health care payment operations. The architects behind this revolutionary platform will share their vision for transforming value-based care through intelligent automation. 


Featured Innovation Leaders 

  • Sanjay Singh - Lead AI Engineer, AI VBC Agents, Edifecs
  • Dr. Demitri Plessas - Lead Architect/Data Scientist, AI VBC Agents, Edifecs
 
 

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

 

Was this email shared with you? 

Subscribe today and stay a step ahead of the competition with the latest news, regulatory information, free resources and more!