CORE Code Combinations - Updated Version Available for Implementation

Updated Version Available for Implementation: February 2014 CORE Code Combinations v3.0.4 To: All HIPAA Covered Entities and Business Associates    From: The CAQH CORE Code Combinations Task Group Co-Chairs    The purpose of this communication is to announce that an updated version of theCORE-required Code Combinations for the CORE-defined Business Scenarios (CORE Code Combinations) is now available for use with CAQH CORE 360: Uniform Use of CARCs and RARCs Rule. CAQH CORE Rule 360 enables more uniform use of the Claim Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs) by targeting a minimum set of common or problematic Business Scenarios along with a maximum specified set of code combinations for each of these Scenarios. The CORE Code Combinations must be updated to align with the current published CARC and RARC lists which are maintained by code committees and updated at least three times per year.   The CORE-required Code Combinations for the CORE-defined Business Scenarios v3.0.4 February 2014 is now available on the CAQH CORE website for use with CAQH CORE 360 Rule. The February 2014 CORE Code Combinationsincludes Compliance-based Adjustments to the CORE Code Combinationsapproved by the CAQH CORE Code Combinations Task Group based on the November 2013 published CARC and RARCs lists. A marked-up version of theFebruary 2014 CORE Code Combinations showing Compliance-based Adjustments between v.3.0.3 and v.3.0.4 is available HERE and a table summarizing the adjustments is available HERE. For more information visit the Ongoing Maintenance of the CORE Code Combinations for CAQH CORE 360 Rule Webpage which is a "one stop shop" for all the necessary tools and information to comply with CAQH CORE 360 Rule and the ongoing maintenance process. The CAQH CORE Code Combinations TaskGroup is in the final steps of preparation for the first Market-based Review of theCORE Code Combinations. CORE Participants are encouraged to get involved with the Task Group. Please do not hesitate to contact core@caqh.org with any additional questions.