CAQH CORE: July 2014

Friday, July 25, 2014

CAQH CORE National Webinar - July 30, 2014 - Featuring Florida Division of Medicaid

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CAQH CORE NATIONAL WEBINAR

Florida Division of Medicaid:
Setting an Example in Successful Operating Rule Implementation and Voluntary CORE Certification
  
Wednesday, July 30, 2014
2:00 - 3:30 pm ET
  
There is no fee to attend.
    
 Benefit from the Experiences of the First CORE-Certified Medicaid Agency

Participate in this special session with the first CORE-certified Medicaid agency,Florida Division of Medicaid, to learn how they effectively implemented both the first set (Eligibility & Claim Status) and second set (Electronic Funds Transfer & Electronic Remittance Advice) of CAQH CORE Operating Rules and earned Phase I, II and III CORE certification. Advice and insights from Florida Division of Medicaid will help all entities overcome barriers to implementation and take advantage of the CAQH CORE Operating Rules.
  
In this session you will:
  • Learn about Florida Division of Medicaid's implementation considerations for executing and benefiting from the CAQH CORE Operating Rules
  • Receive insights on how key issues were resolved and challenges overcome during implementation of the Operating Rules
  • Find out how Florida Division of Medicaid effectively completed testing and achieved Voluntary CORE Certification
  • Hear about lessons learned and future considerations that can assist you in gaining the maximum value from Operating Rules implementation
  • Participate in Q&A with representatives of the Florida Division of Medicaid and CAQH CORE

Who Should Attend

This session will be especially beneficial to State Medicaid Agencies to understand how they can benefit from the CAQH CORE Operating Rules. Other health plans, providers, clearinghouses and vendors that should currently be in compliance with the CAQH CORE Operating Rules and those that want to ensure they are fully benefiting from the Operating Rules will also be able to take advantage of this session.

Note: A working knowledge of Federally Mandated CAQH CORE Operating Rulesis assumed.


Register Now to Reserve Your Spot for This Free Education Session


About Florida Division of Medicaid
The Florida Agency for Health Care Administration is committed to better health care for all Floridians. The Agency administers Florida's Medicaid program, licenses and regulates more than 45,000 health care facilities and 37 health maintenance organizations, and publishes health care data and statistics atwww.FloridaHealthFinder.gov 

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.

Thursday, July 10, 2014

CAQH CORE National Webinar - July 16, 2014 - Uniform Use of CARCs and RARCs Rule: Health Plan Success Story

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CAQH CORE NATIONAL WEBINAR

CAQH CORE 360
Uniform Use of CARCs and RARCs Rule:
A Health Plan Success Story!
  
Wednesday, July 16, 2014
2:00 - 3:30 pm ET
  
There is no fee to attend.
    
How is a global health insurance company benefiting from
Operating Rules implementation?

Join Cigna, a CAQH CORE Participating Organization, CORE Phase I and II certified entity and CORE Code Combinations Task Group member, as they share their CAQH CORE 360 Rule implementation experiences and the advantages they are gaining from their Operating Rule implementation. In addition, CAQH CORE will provide an update on the revised version of the CORE-required Code Combinations that was published on June 4th.
            
Note: A working knowledge of Federally Mandated CAQH CORE EFT & ERA Operating Rules is assumed.

This national webinar will include:
  • Key insights from Cigna about their approach towards implementation of the CARCs and RARCs Rule, including:
- General implementation considerations and challenges
- Developing a consistent Code Combination maintenance process
- Best practices and lessons learned for successful Rule implementation
- Benefits of implementation
  • Information about the updated version of the  CORE-required Code Combinations  available since June 4th, which contains updates based on the February 2014 Compliance-based Review and the first annualMarket-based Review
  • Overview of the free implementation resources provided by CAQH CORE
  • Q&A with Cigna and CAQH CORE

Who Should Attend
All HIPAA-covered entities that are currently in compliance or working toward compliance with the EFT & ERA operating rules and those that want to ensure they are fully benefiting from the CARCs and RARCs Rule.

Register Now to Reserve Your Spot for This Free Education Session

About Cigna
Cigna Corporation (NYSE: CI) is a global health service company dedicated to helping people improve their health, well-being and sense of security. Products and services include an integrated suite of health services, such as medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products including group life, accident and disability insurance. Cigna maintains sales capability in 30 countries and jurisdictions, and has approximately 80 million customer relationships throughout the world. To learn more about Cigna®, including links to follow us on Facebook or Twitter, visit www.cigna.com.
  
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.