CAQH CORE: August 2015

Thursday, August 27, 2015

Benefits of Going Paperless in EFT/ERA Transactions for Small & Rural Hospitals - Webinar 9/10

CAQH CORE & NACHA Joint National Webinar with
 Midwest Center for Women's Healthcare and Hospital Corporation of America, Inc.

THURSDAY, SEPTEMBER 10, 2015 
2:00 - 3:00 PM ET

There is no fee to attend.
The Benefits of Going Paperless in Your EFT/ERA Transactions for Small & Rural Hospitals - A Multi-Provider Practice & a Large Hospital Group Share Their Experiences
Come join our partners from NACHA - The Electronic Payments Association - as we talk about the benefits of going paperless in your healthcare financial transactions. CAQH CORE will describe how federally-mandated Operating Rules require health plans to support a provider's ability to streamline their payment posting. NACHA will give an overview of the ACH Network and the 2015 Healthcare Electronic Funds Transfer (EFT) Volumes, as well as the Healthcare EFT Standard which leads to proven efficiencies and savings. We will also have two case studies on the time-saving benefits of switching from paper checks and explanation of benefits to the healthcare EFT and Electronic Remittance Advice (ERA). The case studies will feature the experiences of finance/billing professionals from both a mid-sized provider and a large hospital group.

Our case study speakers will be Eric Brodsky, Director of Billing and Operations of the Midwest Center for Women's HealthCare in the suburban Chicago area, as well as Doug Downey, Vice President, Treasury Services, HCA, Inc. in Nashville, TN.

Who Should Attend?

This webinar is designed for all health care entities that can benefit from use of electronic transactions: hospitals, providers, health plans, vendors and clearinghouses. Departments that would find it useful include: Finance/Billing, Compliance, IT Claim Operations and Process Improvement. If you have questions, please contact CORE@caqh.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.

Friday, August 21, 2015

CAQH CORE & NACHA Joint National Webinar - September 10

CAQH CORE & NACHA Joint National Webinar with
 Midwest Center for Women's Healthcare and Hospital Corporation of America, Inc.

THURSDAY, SEPTEMBER 10, 2015 
2:00 - 3:00 PM ET

There is no fee to attend.
The Benefits of Going Paperless in Your EFT/ERA Transactions for Small & Rural Hospitals - A Multi-Provider Practice & a Large Hospital Group Share Their Experiences
Come join our partners from NACHA - The Electronic Payments Association - as we talk about the benefits of going paperless in your healthcare financial transactions. CAQH CORE will describe how federally-mandated Operating Rules require health plans to support a provider's ability to streamline their payment posting. NACHA will give an overview of the ACH Network and the 2015 Healthcare Electronic Funds Transfer (EFT) Volumes, as well as the Healthcare EFT Standard which leads to proven efficiencies and savings. We will also have two case studies on the time-saving benefits of switching from paper checks and explanation of benefits to the healthcare EFT and Electronic Remittance Advice (ERA). The case studies will feature the experiences of finance/billing professionals from both a mid-sized provider and a large hospital group.

Our case study speakers will be Eric Brodsky, Director of Billing and Operations of the Midwest Center for Women's HealthCare in the suburban Chicago area, as well as Doug Downey, Vice President, Treasury Services, HCA, Inc. in Nashville, TN.

Who Should Attend?

This webinar is designed for all health care entities that can benefit from use of electronic transactions: hospitals, providers, health plans, vendors and clearinghouses. Departments that would find it useful include: Finance/Billing, Compliance, IT Claim Operations and Process Improvement. If you have questions, please contact CORE@caqh.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.

Thursday, August 20, 2015

CAQH Catalyst Newsletter - August 2015

August 2015
Rebranding and Website Launch

CAQH has launched a redesigned website developed to communicate more effectively and improve the visitor experience. In addition to featuring refreshed branding that represents the mission and vision of the organization, www.CAQH.org now has a new structure that makes information easier to find.

As the scope of CAQH activities expands beyond simplifying administrative processes to focus more broadly on "streamlining the business of healthcare", the redesigned website more comprehensively profiles the work of the organization.
The Value & Impact of Collaboration: 
CAQH Presentation at AHIP Institute 2015 
"Collaborating to Take Costs Out of the Business of Healthcare"

Collaborative projects are advancing operational efficiencies, improving health plan and provider relations and reducing millions in costs for the healthcare system at large, according to examples recently provided by senior executives from three national health plans at AHIP Institute 2015.

The presentation by CAQH explored the advantages of using industry-wide collaboration to improve routine business processes. In the session, titled "Collaborating to Take Costs Out of the Business of Healthcare," panelists explained how this approach helps ease the burden on individual health plans and provider organizations, while reducing unnecessary administrative costs.
CAQH CORE Testifies Before HHS Review Committee on Benefits/Challenges of Operating Rules

At the inaugural hearing of the Affordable Care Act (ACA)-mandated Review Committee in June, CAQH CORE presented compelling testimony that operating rules have resulted in significant contributions to the business needs of the healthcare industry. CAQH CORE also emphasized that many opportunities still exist to use operating rules to achieve interoperable data exchange.
Other News
New CAQH Staff

CAQH has welcomed the following new staff in 2015:
Abrielle AndersonCounsel
Erin GibsonMajor Account Manager
Jyoti "JJ" JalaliSenior Manager, Business Development
Carl Johnson, Jr.Major Account Manager
Sarah Kana
Communications Associate
Jessica Porras
CAQH CORE Senior Manager for Education and Outreach
Jack Unverferth
Director of Technology
Drew Voytal
CAQH CORE Senior Project Associate for Education and Outreach
 
CAQH CORE & NACHA JOINT NATIONAL WEBINAR

Thursday, September 10, 2015 | 2:00 - 3:00 PM ET

Join CAQH CORE and NACHA, along with Midwest Center for Women's Healthcare and Hospital Corporation of America, Inc., for a national webinar:
"The Benefits of Going Paperless in Your EFT/ERA Transactions for Small & Rural Hospitals - A Multi-Provider Practice & a Large Hospital Group Share Their Experiences".
CAQH In the News


STAY CONNECTED:

Follow us on TwitterView our profile on LinkedIn

CAQH | 1900 K St NW, Suite 650, Washington, DC 20006 | www.caqh.org

Tuesday, August 4, 2015

National Webinar: EFT/ERA CAQH CORE Certification - Is it right for your organization?

Voluntary EFT/ERA CAQH CORE Certification National Webinar with MaineCare and PNC Healthcare

TUESDAY, AUGUST 11, 2015 
2:00 - 3:00 PM ET
There is no fee to attend.
"Is EFT/ERA CAQH CORE Certification right for your type of organization?"

Why should a State Medicaid Agency become CAQH CORE-certified? Why would a clearinghouse seek CAQH CORE Certification? The fact is that CAQH CORE Certification benefits a multitude of stakeholder types. Join us on August 11th to learn more and get an insider look at the experiences of these recent CORE-certified entities. And get helpful tips from CAQH CORE-authorized Testing Vendor EDIFECS who will perform a live demo of their test site.

What will you learn?
  • Experience of MaineCare and PNC Healthcare in completing their recent CAQH CORE Certification process, including their best practices and lessons learned, and resulting benefits to their EFT/ERA transaction systems.
  • How to navigate the complexities of trading partner coordination and trading partner role identification for maximum testing and certification success.
  • What interfacing with the live CAQH CORE-authorized testing site means and tips ensuring that the CAQH CORE Certification testing process goes smoothly.
Who Should Attend?
All entities interested in voluntary CAQH CORE Certification are welcome to attend this educational webinar, especially those interested in EFT/ERA. If you have questions, please contact CORE@caqh.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.