RevCycle Intelligence September 20, 2017
Jacqueline Belliveau

Electronic claims management adoption is challenged by payer system limitations that result in EFT issues as well as manual EFT and ERA enrollment processes, WEDI stated.

Electronic claims management adoption continues to face challenges related to healthcare Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA), a new Workgroup for Electronic Data Interchange (WEDI) white paper explained.

Despite the development of healthcare EFT standards by HHS, providers and payers have been slow to adopt electronic claims management processes. EFT implementation only increased by one percentage point to reach 62 percent in 2015, the Council for Affordable Quality Healthcare (CAQH) recently reported.

Although, providers and payers have been quicker to do away with manual remittance advice. CAQH found that over one-half...

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Topics: CMS, Health System / Hospital, HIPAA, Market Research, Medicaid, Medicare, Payer, Physician, Primary care, Provider, RCM (Revenue Cycle Mgmt), Self-insured
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