Want to Improve Your Claim Denial and Management Process?

Want to Improve Your Claim Denial and  Management Process? Tell Us How by Submitting a Market-based Review by  February 10, 2016. Calling all providers, medical office managers, and claims adjustment reviewers faced with costly claims denials and adjustments. If you are involved in the healthcare claim payment or advice process (835 transaction), and are facing costly manual claims denials and adjustments, make your submission NOW to the CAQH CORE Code Combination Market-based Review to improve the use of the Claim Adjustment Remark Codes (CARC) and Remittance Advice Adjustment Remark Codes (RARC). The deadline for submission is February 10th so plan your submission NOW. Each year, CAQH CORE issues a call for its Market-based Review of the CORE Code Combinations found in the four CORE-defined Business Scenarios. Through the Market-based Review, healthcare stakeholders are able to add, remove or relocate CORE Code Combinations, to make day-to-day claims submissions  more efficient.   Other key impacts include: Reduced unnecessary manual provider follow-up Decrease in faulty electronic secondary billing Fewer inappropriate write-offs of billable charges Improved billing of patients for co-pays and deductibles Reduction in posting delays Need more information? Go to the CAQH CORE website to get the information you need to submit a Market-based Review.   Submissions can be made via an easy-to-use online form. Depending on how many changes you plan on submitting, it could take less than an hour for one submission or more if you have numerous changes to submit. The link to the submission formand a training webinar (advance to minute 19 for a live demonstration of the submission form) will point you in the right direction so you can be ready to submit before the deadline of February 10, 2016.   What happens next? The submissions are used by the CAQH CORE Code Combination Task Group to help determine changes that they will recommend for the next update of the CORE Code Combinations. Your submission will lead to improvements that will save you time and money down the line. Get ready. Act NOW! The deadline is February 10th. 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 Secretary of the Department of Health and Human Services (HHS) as the author for ACA-mandated operating rules. To learn more about CAQH CORE, visit www.caqh.org.