CAQH CORE Announces Launch of 2014 Market-based Review for CORE Code Combinations

2014 Market-based Review of CORE Code Combinations The CAQH® Committee on Operating Rules for Information Exchange (CORE®) today launched the industry-wide submission period for the 2014 Market-based Review (MBR) of the CORE-required Code Combinations for the CORE-defined Business Scenarios.  Per the established CAQH CORE Code Combinations Maintenance Process, the CAQH CORE Code Combinations Task Group (CCTG) conducts two types of reviews and adjustments: Compliance-based Reviews and Market-based Reviews. Market-based Reviews occur once per year and enable the industry to make adjustments to the CORE Code Combinations to address ongoing and evolving business needs. The 2014 MBR will consider adjustments to the existing four CORE-defined Business Scenarios and the potential addition of new CORE-defined Business Scenarios, with associated code combinations. 2014 MBR INDUSTRY-WIDE SUBMISSION PERIOD To satisfy the CAQH CORE 360: Uniform Use of CARCs and RARCs (835) Rulegoal to support maintenance requirements and ensure that the MBR process addresses evolving industry business needs, the CCTG created the components of the online CAQH CORE 2014 Market-based Adjustments Form. The form will be used to collect the necessary input from the industry so thoughtful maintenance can occur.  Due Date: Responses to the 2014 MBR must be received by 5pm ET on Monday, 01/26/15. Who Can Submit: All CORE Participants, plus non-CORE Participants that create, use, or transmit HIPAA-covered transactions, may submit potential Market-based adjustments via the online CAQH CORE 2014 Market-based Adjustments Form.  Getting Started: Eligible entities wishing to participate in the 2014 MBR can begin by completing Part 1 of the online 2014 Market-based Adjustments Form HERE. ADDITIONAL RESOURCES Detailed instructions to assist in the completion of the online CAQH CORE 2014 Market-based Adjustments Form are available HERE. A sample completed CAQH CORE 2014 Market-based Adjustments Form is also available HERE for consultation as entities plan their submission. Additionally, CAQH CORE education sessions will be offered explaining the MBR submission process. If you need additional assistance in navigating the Market-based Adjustments Form or have any questions regarding the 2014 MBR, please email core@caqh.org.