CAQH CORE: CAQH CORE Training - Dec. 20, 2013 - Market Based Review for CORE Code Combinations

Tuesday, December 17, 2013

CAQH CORE Training - Dec. 20, 2013 - Market Based Review for CORE Code Combinations

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CAQH CORE Training

Market Based Review for CORE Code Combinations

December 20, 2013
2:00 PM - 3:00 PM ET

There is no fee to attend. 

CAQH CORE invites you to a training session focusing on the Market Based Review (MBR) of the CORE Code Combinations for CAQH CORE 360: Uniform Use of CARCs and RARCs Rule which is conducted by the CAQH CORE Code Combinations Task Group (CCTG). Market Based Reviews occur once a year and consider industry submissions addressing code combination (CARC/RARC/CAGC) additions and removals to the current version of the CORE Code Combinations.

The CAQH CORE Code Combinations Task Group created the online Market Based Review submission form (MBR Form) to collect the necessary input from the industry so thoughtful maintenance can occur. The MBR form is to be completed by 5pm ET on 02/14/2014.

This training session will provide information regarding the Market Based Review process and instructions on how an entity should complete the online MBR Form to submit its code combination recommendations. Training will cover:
  • CORE Code Combinations Maintenance Process
  • 2013 Market Based Review Scope and Submission Process
  • Demo of MBR submission: Outline Part 1 of the online MBR Form
  • Demo of MBR submission: Live demo to complete Part 2 of the online MBR Form
Who Should Attend
All CORE Participants plus non-CORE Participants that create, use, or transmit HIPAA-covered transactions may submit potential Market-based adjustments via the online MBR Form and are encouraged to attend this training session.

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.

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