CAQH CORE: September 2013

Friday, September 27, 2013

CAQH CORE Upcoming October Education Sessions

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Upcoming CAQH CORE October Events
Mark Your Calendar

90 Days To Compliance!
Are you ready?

Please join us for these upcoming CAQH CORE Education Events to learn how your organization can be better prepared to meet the ACA-mandated Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) Operating Rules January 2014 Compliance Deadline:


Operating Rule Implementation: Road to compliance and lessons learned
Featuring - Representatives from State Medicaid Organizations
Thursday, October 10, 2013 | 1:30 - 3:00 pm ET

In-depth look at EFT and ERA Operating Rules
Tuesday, October 15, 2013 | 2:30 - 4:00pm ET

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Ed1010CAQH CORE Joint Education Session with State Medicaid Organizations
Operating Rule Implementation: Road to compliance and lessons learned
Thursday, October 10, 2013 | 1:30 - 3:00 pm ET
Register for this event HERE for free 

Featuring:
Michigan Public Health Institute (MPHI)
New Mexico Human Services Department
Xerox Government Healthcare Solutions
Michigan Department of Community Health
Missouri Department of Social Services

This education session presents real case studies from real world implementers that will benefit all stakeholders interested in learning about implementation of the CAQH CORE Operating Rules. Hear from the featured State Medicaid Organizations about their experiences as they successfully implemented the Operating Rules to meet compliance deadlines. Learn how key rule requirements were addressed and issues resolved during implementation. Take advantage of their lessons learned and challenges overcome so you too are prepared for compliance with the Operating Rules. There will be ample time provided to ask questions to the experts from the State Medicaid Organizations and CAQH CORE.

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In-depth look at EFT and ERA Operating Rules
Tuesday, October 15, 2013 | 2:30 - 4:00pm ET
Register for this event HERE for free 

Join CAQH CORE and ASC X12 for an in-depth presentation on the EFT and ERA Operating Rules. Learn about the ERA standard in detail from ASC X12, including its rationale and scope, as well as its key impact for different stakeholders. Understand the requirements, implementation considerations and other essential information your organization needs in order to meet the upcoming January 1, 2014ACA-mandated deadline for compliance with the EFT and ERA Operating Rules. Substantial time will be given to ask questions to knowledgeable ASC X12 and CAQH CORE representatives.

Thursday, September 19, 2013

CAQH CORE Offers New Webpage Dedicated to the CORE Code Combinations Maintenance Process for CAQH CORE 360 Rule

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New Resource from CAQH CORE
  
Webpage Dedicated to the CORE Code Combinations
Maintenance Process for CAQH CORE 360 Rule


CAQH CORE would like to share with you our latest resource - a free webpagededicated to assisting your organization with ongoing maintenance related to theCORE Code Combinations for CAQH CORE 360: Uniform Use of CARCs and RARCs Rule.  

Given the published CARC and RARC lists and, in turn, the CORE Code Combinations are updated three times per year, the purpose of this webpage is to serve as a "one stop shop" for all the necessary tools and information to comply with CAQH CORE 360 Rule and the ongoing maintenance process. Highlights from the new webpage include:
  • Access to current and past versions of the CORE Code Combinations
  • Timeline for updates and compliance
  • Instructions related to the Market-based Review process
  • Key considerations by stakeholder type

We encourage you to share this new link with colleagues responsible for maintaining the CORE Code Combinations at your organization and share with us any feedback on the usefulness of the site. 

CAQH CORE is considering the costs/benefits of offering the CORE Code Combinations in formats beyond Excel, such as a CSV file. Please emailcore@caqh.org if you would use such and what format.

NOTE: The CAQH CORE Code Combinations Task Group maintains the CORE Code Combinations and has been meeting biweekly throughout most of 2013. Currently there are more than forty CORE Participant Organizations represented on the Task Group. Any CORE Participating Organization may join the Task Group and directly contribute to the maintenance process by emailing core@caqh.org.  All entities are encouraged to join CAQH CORE; for more information on becoming a CORE Participating Organization click HERE

Wednesday, September 11, 2013

Reminder: CAQH CORE & Edifecs Webinar - Sept. 12, 2013 - Testing your Compliance with CAQH CORE EFT & ERA Operating Rules through voluntary CORE Certification

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REMINDER

CAQH CORE and Edifecs Webinar

Testing your compliance with the CAQH CORE
 Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) Operating Rules
through voluntary CORE Certification

September 12, 2013
2:00 PM - 3:30 PM ET

There is no fee to attend. 

Join us for a joint CAQH CORE and Edifecs education session to get an overview of the voluntary CORE Certification Process and a demonstration of the CORE-authorized testing platform that encourages trading partners to work together on data flow and content as you prepare for the January 1, 2014 compliance date for EFT and ERA Operating Rules.  You will also hear from InstaMed - the first EFT & ERA CORE Certified Organization - about the testing process from their perspective, as well as, best practices and lessons learned for entities seeking voluntary CORE Certification.

In this session you will be able to:
  • Learn more about voluntary CAQH CORE Certification and how it can be an important step in your implementation process
  • Find out about the CAQH CORE authorized testing platform offered by Edifecs and how you can test your conformance with the EFT and ERA Operating Rules
  • Hear from InstaMed about the testing process from their perspective and learn how their product achieved CORE Certification
  • Participate in a Q&A session with Edifecs, InstaMed and CAQH CORE
Who Should Attend

All stakeholders interested in learning more about voluntary CORE Certification Testing and its benefits are invited to attend. This session is designed to assist representatives of health plans, clearinghouses and vendors as you work on  implementation of the January 1, 2014 federally mandated EFT and ERA Operating Rules.

A working knowledge of CAQH CORE EFT and ERA Operating Rules is assumed.  

About Edifecs
Edifecs is the first CORE-authorized testing vendor. More than 35 health plans, large provider groups and health information technology vendors have used Edifecs' on-line CORE Certification Testing Platform to demonstrate their conformance with the CAQH CORE Operating Rules. Edifecs is an industry leader since 1996.

Edifecs provides healthcare software solutions that improve operational performance by streamlining the exchange of information between health plans, hospitals and other healthcare organizations, while enabling compliance with current mandates, including HIPAA, Operating Rules and ICD-10.

About InstaMed
InstaMed is a leading Healthcare Payments Network, simplifying every healthcare clearinghouse and patient payment transaction for payers, providers and members, all in one place. InstaMed is the first EFT & ERA CORE Certified Organization. InstaMed delivers CAQH CORE Phase III-compliant Integrated ERA/EFT® to a network of 200,000+ providers and connects providers to 3,000+ payers to verify patient eligibility in real-time and batch.

About CAQH CORE
CAQH CORE is a national multi-stakeholder initiative that streamlines electronic healthcare administrative data exchange and improves health plan-provider interoperability through an integrated model of operating rule development, adoption and maintenance. CAQH CORE has been designated by the Department of Health and Human Services (HHS) as an author for ACA-mandated operating rules. To learn more about CAQH CORE, visit www.caqh.org

Monday, September 9, 2013

CAQH CORE & Edifecs Webinar - Sept. 12, 2013 - Testing your Compliance with CAQH CORE EFT & ERA Operating Rules through voluntary CORE Certification

CORE News
CertificationJoin CORECORE PIFAQsAboutContact 
CAQH CORE and Edifecs Webinar

Testing your compliance with the CAQH CORE
 Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) Operating Rules
through voluntary CORE Certification

September 12, 2013
2:00 PM - 3:30 PM ET

There is no fee to attend. 

Join us for a joint CAQH CORE and Edifecs education session to get an overview of the voluntary CORE Certification Process and a demonstration of the CORE-authorized testing platform that encourages trading partners to work together on data flow and content as you prepare for the January 1, 2014 compliance date for EFT and ERA Operating Rules.  You will also hear from InstaMed - the first EFT & ERA CORE Certified Organization - about the testing process from their perspective, as well as, best practices and lessons learned for entities seeking voluntary CORE Certification.

In this session you will be able to:
  • Learn more about voluntary CAQH CORE Certification and how it can be an important step in your implementation process
  • Find out about the CAQH CORE authorized testing platform offered by Edifecs and how you can test your conformance with the EFT and ERA Operating Rules
  • Hear from InstaMed about the testing process from their perspective and learn how their product achieved CORE Certification
  • Participate in a Q&A session with Edifecs, InstaMed and CAQH CORE
Who Should Attend

All stakeholders interested in learning more about voluntary CORE Certification Testing and its benefits are invited to attend. This session is designed to assist representatives of health plans, clearinghouses and vendors as you work on  implementation of the January 1, 2014 federally mandated EFT and ERA Operating Rules.

A working knowledge of CAQH CORE EFT and ERA Operating Rules is assumed.  

About Edifecs
Edifecs is the first CORE-authorized testing vendor. More than 35 health plans, large provider groups and health information technology vendors have used Edifecs' on-line CORE Certification Testing Platform to demonstrate their conformance with the CAQH CORE Operating Rules. Edifecs is an industry leader since 1996.

Edifecs provides healthcare software solutions that improve operational performance by streamlining the exchange of information between health plans, hospitals and other healthcare organizations, while enabling compliance with current mandates, including HIPAA, Operating Rules and ICD-10.

About InstaMed
InstaMed is a leading Healthcare Payments Network, simplifying every healthcare clearinghouse and patient payment transaction for payers, providers and members, all in one place. InstaMed is the first EFT & ERA CORE Certified Organization. InstaMed delivers CAQH CORE Phase III-compliant Integrated ERA/EFT® to a network of 200,000+ providers and connects providers to 3,000+ payers to verify patient eligibility in real-time and batch.

About CAQH CORE
CAQH CORE is a national multi-stakeholder initiative that streamlines electronic healthcare administrative data exchange and improves health plan-provider interoperability through an integrated model of operating rule development, adoption and maintenance. CAQH CORE has been designated by the Department of Health and Human Services (HHS) as an author for ACA-mandated operating rules. To learn more about CAQH CORE, visit www.caqh.org