CAQH CORE: March 2014

Wednesday, March 26, 2014

CAQH and DECISIONHEALTH PRESS RELEASE: DecisionHealth and CAQH Combine Forces to Optimize the Provider Experience at the National Provider Enrollment Workshop 2014

CAQH News 
CAQH and DecisionHealth distributed the following joint press release today. Contact CAQH orDecisionHealth for more information.

CAQH and DECISIONHEALTH PRESS RELEASE

DecisionHealth and CAQH Combine Forces to Optimize the Provider Experience at the National Provider Enrollment Workshop 2014
   
WASHINGTON, DC - March 25, 2014 - DecisionHealth, a leading source for health care news, analysis and instructional guidance, announced today that it will be including CAQH, a nonprofit alliance of health plans and trade associations aimed at simplifying health care administration, to enhance onsite training at the 14th Annual National Provider Enrollment Workshop 2014: Solve your Medicare and Commercial Payer Enrollment Challenges.  

Now in its fourteenth year, the DecisionHealth workshop, taking place at the Millennium Knickerbocker in Chicago, IL from April 28th through the 30th, will offer physician practice managers, clinicians and a myriad of administrative staff three full days of expanded learning opportunities focused on Medicare and payer provider enrollment, as well as the CAQH Universal Provider Datasource (UPD) system. This year's expanded agenda will feature UPD-targeted sessions including:
  • Payer Enrollment Snapshot - What is CAQH UPD and Why Use It?: The first day, attendees jump right into a high-level overview of UPD, including a summary of what's next for provider information, and some major enhancements coming to UPD.
     
  • How to Complete a CAQH UPD Application: The last day, participants will be guided through an entire UPD application, learn answers to frequently asked questions and gain tips on how to avoid common errors with directions on where to go for help along the way.
     
  • What Payers Look for in Credentialing Data: Attendees will gain exclusive insight into the payer angle as experts from CAQH are joined by representatives from a premier commercial health plan to share their perspective and answer questions.
     
  • How CAQH UPD Will Drive Provider Data Sharing: The workshop wraps up with information on how UPD will evolve and how provider data that is captured will soon be used for a wide variety of functions that will benefit everyone, from patients to providers.
To view the entire three-day agenda, visit http://decisionhealth.com.

"Offering this expanded enrollment training with CAQH at the National Provider Enrollment Workshop 2014 is the logical next step in delivering credentialing staff in the medical practice market a well-rounded experience from both the Medicare and commercial payer perspective," says Tonya Nevin, Vice President of Medical Practice Products & Solutions for DecisionHealth.

"Simplifying administrative processes for health care professionals continues to be one of our top priorities. We understand that enrollment is constantly evolving and it's critical for medical practices to stay informed about changes, enhancements and new trends on the horizon," says Sorin Davis, Managing Director of Marketing and Business Development for CAQH. "CAQH is excited to be a part of this conference and partner with DecisionHealth to round out a more complete course offering."

The National Provider Enrollment Workshop 2014 is the only event that delivers comprehensive enrollment and revalidation training for enrollment and credentialing professionals with varying experience levels from every provider setting - physician offices, home health agencies, hospitals, rural health clinics and more. Attendees will have direct access to CMS officials, CAQH representatives and DecisionHealth's nationally-recognized enrollment experts.

For more event details on the 14th Annual National Provider Enrollment Workshop 2014, visithttp://decisionhealth.com/.

 

About DecisionHealth
For over 25 years, DecisionHealth has served as the industry's leading source for news, analysis and instructional guidance with brand names such as Home Health Line and Part B News. Our unique blend of award-winning on-staff journalists and unmatched access to health care executives, providers and their administrative staffs results in business management advice and operationally focused editorial that has captured the attention of nearly 100,000 home health care professionals and specialty physician practices.


About CAQH
CAQH serves as a catalyst for industry collaboration on initiatives that simplify healthcare administration for health plans and providers, resulting in a better care experience for patients and caregivers. CAQH solutions help promote quality interactions between plans, providers, and other stakeholders; reduce costs and frustrations associated with healthcare administration; facilitate administrative healthcare information exchange; and encourage administrative and clinical data integration. Visit www.caqh.org for more information. Follow us on Twitter at @caqh.
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Monday, March 10, 2014

CAQH CORE Joint Education Session with NACHA

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NACHA and CAQH CORE Joint Education Session

EFT & ERA Operating Rules:
Driving Value through Implementation

Wednesday, March 12, 2014
2:00 - 3:30 pm ET
  
There is no fee to attend.
    

As of January 1, 2014, all HIPAA-covered entities
are mandated to be in compliance.

ARE YOU AND YOUR TRADING PARTNERS COMPLIANT?

If you are in the process of implementing or verifying your trading partners' implementation, then this session is for you!  Join us to find out how a healthcare ePayment company and a financial institution have implemented and are benefiting from the CAQH CORE Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) Operating Rules. Our guest speakers will provide valuable insights into how you too can successfully execute the EFT & ERA Operating Rules. NACHA will also give an update on the status of industry utilization of the EFT Standard, among other relevant topics. 

In this session:
  • Yusuf Qasim from Phase III CORE-certified Healthcare ePayment company Pay-Plus Solutions will share his company's implementation experiences including
    • Planning and resources
    • Challenges and resolutions
    • Benefits of EFT & ERA for providers and payers
    • Preparing for voluntary CORE certification
  • Steve Bernstein from CORE participating Financial Institution JPMorgan Chase will talk about how the bank is supporting the healthcare industry's adoption of EFT & ERA Operating Rules
    • Effect of the regulations on the processes and operations of a bank
    • Working with health plans and providers
    • Best practices for providers and health plans for coordinating with their banks
  • Priscilla Holland from NACHA will provide an update on topics related to the EFT Standard, covering
    • Status of  2013 to YTD 2014  EFT transaction volumes and industry adoption
    • Key observations about implementation of the EFT Standard
    • Best practices and lessons learned from organizations that have already implemented EFT 
Ample time will be available for you to participate in Q&A with Pay-Plus Solutions, JPMorgan Chase, NACHA and CAQH CORE.

Who Should Attend:
All stakeholders currently working towards compliance with the HIPAA-mandated EFT Standard and EFT & ERA operating rules are encouraged to attend.

Note: A working knowledge of Federally Mandated CAQH CORE EFT & ERA Operating Rules is assumed.

About Pay-Plus Solutions
Pay-Plus® Solutions, Inc. is a leading healthcare ePayment company which delivers turnkey, CAQH CORE® certified, claims payment and 835 solutions for Healthcare Payers and Providers.  Leveraging the latest technology and promoting evolving industry standards, Pay-Plus Solutions facilitates compliance of regulatory requirements and streamlines the transfer of healthcare information. 

About JPMorgan Chase
JPMorgan Chase & Co. (NYSE: JPM) is a leading global financial services firm with assets of $2.4 trillion and operations worldwide. The Firm is a leader in investment banking, financial services for consumers and small businesses, commercial banking, financial transaction processing, asset management and private equity. JPMorgan Chase & Co. serves millions of consumers in the United States and many of the world's most prominent clients.

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 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.