October Education Events by CAQH CORE

CAQH CORE October Education Events CAQH CORE October Town Hall National Webinar Thursday, October 22, 2015 | 2:00 - 3:00 pm ET Register HERE. Event is free.   Join us for our quarterly Town Hall Call, a 60-minute interactive session, for the latest information on CAQH CORE activities, including:   The New Phase IV CAQH CORE Operating Rules: What's Next? Just approved by CORE vote! Get the first update on the new operating rules for claims, enrollment/disenrollment in a health plan, premium payments and prior authorizations, potential HHS action on Phase IV and soon to-be-released CORE FAQs, Planning and Analysis Guide and other implementation tools to help your Phase IV implementation go smoothly.    ACA-Mandated Health Plan Certification and Voluntary CORE Certification Update: With the statutory compliance date looming ahead, learn about the ACA-mandated health plan certification and, as we surpass the 200 CORE Certifications milestone, hear about current trends and why voluntary CORE Certification continues to grow in popularity.   Ongoing Maintenance of EFT/ERA - Get Involved! CORE is responsible for ongoing updates to the mandated Operating Rules: the EFT/ERA enrollment data set and the CAQH CORE Code Combination Maintenance Processes and Market-based Review. Your organization should get engaged in these efforts and have direct input into these revisions. Use the Code Combinations NOW to improve your claim adjustments and denials, and ensure they reflect industry usage and YOUR business needs. Hear how you can join these efforts, and how to report out your results.   CORE Future Focus: What are the opportunities being discussed by the CAQH CORE Board? Hear how they are considering where CORE can add the most value as the market moves from fee-for-service to value-based purchasing, and as we learn best practices from implementing some of the initial sets of ACA-driven operating rules.    Best practices in action! Mark your calendars for upcoming CAQH CORE webinar topics, including sessions on multi-phase CORE Certification, and how to improve your payment-remittance transactions.   Q&A: Bring your questions and share information about your experiences and benefits from your use of CORE Operating Rules, the CARC & RARC Code Combinations, and /or the CORE Certification process.   CAQH CORE Town Hall Calls provide the public with an update on CORE's recent activities related to industry development and/or implementation of Federally mandated operating rules. This call is open to all non-CORE and CORE Participants and is for informational purposes only; no voting or decisions will occur. _____________________________________________________________ Triple Play: Pursuing Voluntary CORE Certification Phases I through III Simultaneously Featuring: Group Health Cooperative Tuesday, October 27, 2015 | 2:00 - 3:00 pm ET Register HERE. Event is free.   Register for this webinar to learn about voluntary CORE Certification, one of the documents of compliance in the proposed rule for the ACA-mandated HHS health plan certification. Get an insider look at the experience of a recent CORE-certified entity, Group Health Cooperative, a member-governed, nonprofit health care system that coordinates care and coverage for more than 600,000 residents of Washington and North Idaho.Group Health Cooperative chose to pursue Phase I, II, & III CORE Certification concurrently, and they will discuss their approach to, and the benefits and challenges of, pursuing CORE Certification for all three phases at the same time. Get helpful advice from CAQH CORE-authorized Testing Vendor EDIFECS who will share tips to ensure the CORE Certification testing process goes smoothly, whether you work on one or multiple certifications.   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.