CAQH CORE and NACHA Education Session - Dec. 4, 2013 - Implementation of the EFT Standard and EFT & ERA Operating Rules

CAQH CORE and NACHA Joint Education Session Implementation of the EFT Standard and EFT & ERA Operating Rules December 4, 2013 2:00 PM - 3:30 PM ET REGISTER There is no fee to attend  Join guest speakers from Aultcare and Bank of America in this education session focused on implementation of the EFT Standard and EFT & ERA Operating Rules. This webinar will offer the audience implementation considerations from health plan and financial institution perspectives. Get information and guidance your organization needs to be compliant with the EFT & ERA Operating Rules by theJanuary 1, 2014 deadline Featured Panelists: Priscilla Holland from NACHA Raza Fayyaz from Aultcare Curtis Crispin from Bank of America Bob Bowman from CAQH CORE In this session: Hear highlights of the Healthcare EFT standard from NACHA Key requirements for January 1st deadline  Background and overview of NACHA's 2013 ACH CCD+ updates, and how they affect your organization  Best practices and lessons learned from organizations that have already implemented the EFT Standard Receive implementation insights from CORE participating health plan, Aultcare Roles and responsibilities of a Health Plan for compliance Implementation preparation and planning for the EFT Standard and EFT & ERA Operating Rules Lessons learned and tips for successful EFT & ERA Operating Rules implementation Find out how CORE participating financial institution, Bank of America, is working with health plans and providers Actions taken by the bank to support the healthcare industry's adoption of the EFT Standard and EFT & ERA Operating Rules What are some best practices for Providers and Health Plans to adhere to when working with their banks Who Should Attend: All stakeholders currently working towards compliance with the EFT & ERA operating rules are encouraged to attend Note: A working knowledge of Federally Mandated EFT & ERA Operating Rules is assumed About NACHA - The Electronic Payments Association NACHA is mandated by Federal regulation as healthcare's EFT standard organization and its ACH CCD+ as a Federally required healthcare EFT standard. NACHA manages the development, administration, and governance of the ACH Network, the backbone for the electronic movement of money and data. As a not-for-profit association, NACHA represents more than 10,000 financial institutions via 17 regional payments associations and direct membership. To learn more, visithttps://healthcare.nacha.org/. About Aultcare Founded in 1985 and located in Canton, Ohio, Aultcare is one of the largest hospital-based Preferred Provider Organizations in the Midwest, with a 97 percent customer retention rate. Aultcare administers payment of benefits such as medical, dental, vision, short-term disability, workers' compensation and flexible spending accounts. Benefit plans include: Preferred Provider Organization (PPO), traditional and Point of Service (POS) plans. Additionally, Aultcare manages a subsidiary company as a licensed Health Maintenance Organization (HMO). About Bank of America Bank of America is one of the world's leading financial institutions, serving individuals, small- and middle-market businesses, large corporations, and governments with a full range of banking, investment management and other financial and risk management products and services. Since the beginning of 2010, we have made significant progress transforming the company into a simpler, more efficient enterprise. We serve approximately 51 million consumers, clients and small businesses. 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.

CAQH CORE Town Hall Call - November 25, 2013 - Register Now

Join Us for the CAQH CORE November Town Hall Call A Free Information Session Open to the Public Monday, November 25, 2013 2:00 - 3:00 pm ET    Register HERE There is no fee to attend.      Please join us for this 60-minute interactive session on recent CAQH CORE activities and participate in Q&A, including: Update from Special Guest CMS OESS Matt Albright, Deputy Director Administrative Simplification Group CMS OESS, will address your compliance questions as you work towards theJan 1, 2014 deadline for ACA-mandated EFT & ERA Operating Rules Driving Value: First Set of ACA Mandated Operating Rules - Eligibility and Claim Status Compliance in Effect as of January 1, 2013 Receive the status of industry implementation including recent CORE Certifications Hear about CAQH CORE case studies development Driving Adoption: Second Set of ACA Mandated Operating Rules - EFT and ERA Compliance deadline is January 1, 2014 See tips that EFT/ERA Operating Rules implementers are pursuing for success Given the Uniform Use of CARCs and RARCs Operating Rules require ongoing maintenance, learn how you can participate in this Task Group, currently focused on a Compliance-based Review, and the upcoming Market-based Review Consider provider-focused adoption actions such as the CORE Board Digital Campaign and the new sample CORE Provider Letters for bank and plan EFT outreach   Developing with Alignment in Mind: Third Set of ACA Mandated Operating Rules Learn about the different subgroups involved in the CAQH CORE rule-writing process Find out about the CAQH CORE connectivity and infrastructure options for the ACA-mandated Third Set by joining the CAQH CORE Connectivity & Security Subgroup CAQH CORE Town Hall Calls provide the public with an update on CORE's recent activities related to industry development and/or implementation of Federally mandated operating rules. This call is open to all non-CORE and CORE Participants and is for informational purposes only; no voting or decisions will occur. If you have any questions, please contactCORE@caqh.org.

CAQH CORE Upcoming December Education Sessions

Upcoming CAQH CORE December Events Mark Your Calendar The Final Countdown Only One Month Remains! The compliance deadline for Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) Operating Rules is January 1, 2014. Take advantage of these upcoming CAQH CORE Education Sessions during this last month before the compliance deadline to get your pressing questions about EFT and ERA implementation answered. All stakeholders will find valuable information in these education sessions to help them meet the fast approaching compliance deadline.   CAQH CORE and NACHA Joint Education Session Featuring: Health Plan and Financial Institution Implementers Wednesday, December 4, 2013 | 2:00 - 3:30 pm ET  Panel Discussion on EFT & ERA Operating Rules Featuring: Clearinghouse, Health Plan, Provider and/or Financial Institution implementers Thursday, December 12, 2013 | 2:00 - 3:30 pm ET  CAQH CORE Open Mic Session Featuring: CMS OESS Tuesday, December 17, 2013 | 3:00 - 4:30 pm ET   _______________________________________________________________    CAQH CORE and NACHA Joint Education Session Featuring: Health Plan and Financial Institution implementers Wednesday, Dec 4, 2013 | 2:00 - 3:30 pm ET Register for this event HERE for free  Join NACHA and CAQH CORE to review the EFT Standard and EFT & ERA Operating Rules with a focus on what your organization needs to implement to be compliant in advance of the January 1, 2014 deadline. Learn how banks are working with health plans and providers to successfully implement the EFT Standard and the EFT & ERA Operating Rules. Receive insights into the challenges, best practices and lessons learned for implementation from a health plan whose insights will benefit all stakeholder types. Substantial time will be provided for Q&A.  ___________________________________________________ Panel Discussion on EFT & ERA Operating Rules Featuring: Clearinghouse, Health Plan, Provider and/or Financial Institution implementers Thursday, December 12, 2013 | 2:00 - 3:30 pm ET Register for this event HERE for free  This session is designed as a panel discussion between industry implementers. You will have a front row seat to the discussion about their processes for implementing EFT & ERA Operating Rules and the resources they found valuable during implementation. These implementers will also share their best practices and lessons learned as well as how they coordinated with their trading partners to ensure compliance. A large portion of this session will be reserved for Q&A.  ___________________________________________________ CAQH CORE Open Mic Session Featuring: CMS OESS Tuesday, December 17, 2013 | 3:00 - 4:30 pm ET Register for this event HERE for free  As you work towards compliance with the Jan. 1, 2014 deadline for ACA-mandated EFT & ERA Operating Rules, please join us for this special education session where we have invited guest speakers from CMS OESS to address your compliance questions. We will provide information and answer questions about implementation of the EFT & ERA Operating Rules to ensure you have the tools you need to successfully meet the compliance deadline.

CAQH CORE Education Session - Nov. 12, 2013 - Lessons Learned from Industry Implementers of EFT and ERA Operating Rules

CAQH CORE Education Session on EFT and ERA Operating Rules Implementation Lessons Learned from Industry Implementers November 12, 2013 2:00 PM - 3:30 PM ET REGISTER There is no fee to attend.  Is your organization prepared to meet the January 1, 2014 deadline for implementing the federally mandated CAQH CORE Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) Operating Rules?  Join CAQH CORE and industry implementers for an overview of implementation considerations, challenges and solutions for EFT and ERA Operating Rules. This advanced session is designed to assist all HIPAA-covered entities as they work towards compliance with the EFT and ERA Operating Rules. Gain valuable insights from the perspectives of a commercial health plan - Cambia Health Solutions - and a State Medicaid Agency - Michigan Department of Community Health - about how they are approaching the implementation of the EFT and ERA Operating rules in their respective organizations. The implementation topics being discussed include, but are not limited to: Implementation Planning and Preparation General Considerations and Challenges How to work with your Trading Partners Effective Implementation Resources Best Practices and Lessons Learned The audience will also be given time to participate in Q&A with Cambia Health Solutions, Michigan Department of Community Health and CAQH CORE representatives. Who Should Attend All stakeholders currently working towards compliance with the EFT & ERA operating rules are encouraged to attend. Note: A working knowledge of Federally Mandated EFT & ERA Operating Rules is assumed. About Cambia Health Solutions Located in the Pacific Northwest, Cambia is a nonprofit total health solutions company dedicated to transforming the way people experience the health care system. Cambia's portfolio of companies spans health care information technology and software development; retail health care; health insurance plans that carry the Blue Cross and Blue Shield brands under the Regence Brand; pharmacy benefit management; life, disability, dental, vision and other lines of protection; alternative solutions to health care access; and free-standing health and wellness solutions. About Michigan Department of Community Health The Michigan Department of Community Health (MDCH) is one of 18 departments of Michigan state government.  The Department, one of the largest in state government, is responsible for health policy and management of the state's publicly-funded health service systems. About 2 million Michigan residents will receive services this year that are provided with total or partial support from MDCH.  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.

New CAQH CORE Tool to Assist Providers with Maximizing the Benefits of EFT Payments

Making EFT Work at Your Provider Organization Contact Your Banks! Does your organization currently or plan to receive payments via EFT? CAQH CORE is pleased to announce the release of a new tool for providers to assist with reassociation of electronic funds transfer (EFT) payments with remittance information received on an electronic remittance advice (ERA): asample letter a provider can email to its banks or use as talking points for a phone or in-person meeting with bank contacts to request delivery of key reassociation data. Because the current HIPAA-mandated standards for EFT and ERA travel separately from the health plan to the provider, providers must reassociate the two transactions using a TRN Reassociation Trace Number data segment. The ACA-mandated EFT & ERA Operating Rules include requirements to make EFT and ERA reassociation easier for providers, however financial institutions do not automatically send the Automated Clearing House (ACH) Payment Related Information to providers. Providers must request delivery of the ACH Payment Related Information from their banks. This new tool from CAQH CORE, i.e. theSample Provider EFT Reassociation Data Request Letter, will help facilitate such a request and ensure providers have all the data necessary to successfully reassociate EFTs and ERAs.