CAQH CORE

Wednesday, May 27, 2015

CAQH CORE Open Mic 5/28 on Survey to Provide Input on Operating Rules

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CAQH CORE OPEN MIC SESSION

THURSDAY, MAY 28, 2015
2:00 - 3:00 PM ET

There is no fee to attend.

Provide Input on Current Operating Rule Opportunities, Barriers and Value for CAQH CORE June Testimony to the Affordable Care Act (ACA) Review Committee

Purpose of the Open Mic
CAQH CORE is offering this opportunity to provide input to the upcoming first hearing of the Standards and Operating Rules Review Committee on June 16-17, 2015.

Under the auspices of the National Committee on Vital Health Statistics, the ACA-established Review Committee will consider existing health care administrative transactions for which standards or operating rules already exist and are in use and, if needed, make recommendations to HHS for update or improvement.

CAQH CORE is collecting industry information using a survey tool that will be discussed in detail during the session. NOTE: This webinar will be the same format as the May 19th webinar.  If you have already submitted the survey or attended the May 19th webinar, you do not need to attend this webinar.


Who Should Attend
This webinar is designed for both CORE and non-CORE participating organizations and entities who are interested in learning about and completing the CAQH CORE survey on current operating rule opportunities, barriers and value for the June testimony before the Affordable Care Act (ACA) Review Committee.


CAQH CORE SURVEY

Click here to complete survey -- Deadline is June 2, 2015 by 5:00 PM ET

Purpose of the Survey
CAQH CORE needs your survey responses to ensure that the currently adopted (Eligibility, Claim Status, ERA, and EFT) operating rules for the HIPAA transactions continue to meet industry needs. Results from this survey will contribute to the testimony which CAQH CORE is presenting to the ACA Review Committee on June 16-17, 2015. Your input will also impact CAQH CORE work on operating rules in the future.

Survey Scope
  • The questions in this survey relate only to the operating rules and not the underlying standards which the operating rules support.
  • The survey relates only to the operating rules which are currently adopted for use (Eligibility, Claim Status, ERA, and EFT), as that is the scope of the ACA Review Committee.
  • There are just 20 multiple choice survey questions (should take 5-15 minutes to complete).

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.


Also, join us for the CAQH CORE June 9th Town Hall Webinar

Tuesday, June 9, 2015 
2:00-3:00 PM ET

Register HERE

CAQH CORE Town Hall Webinars 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.

Friday, May 22, 2015

CAQH CORE Survey -- Provide Input on Current Operating Rules

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CAQH CORE SURVEY

Give Us Your Input on Current Operating Rule Opportunities, Barriers and Value for Our June Testimony Before the Affordable Care Act (ACA) Review Committee


Deadline is June 2, 2015 by 5:00 pm ET

Purpose of the Survey
We need your survey responses to ensure that the currently adopted (Eligibility, Claim Status, ERA, and EFT) operating rules for the HIPAA transactions continue to meet industry needs. Results from this survey will contribute to the testimony which CAQH CORE is presenting to the ACA Review Committee on June 16-17, 2015. Your input will also impact CAQH CORE work on operating rules in the future.

 Survey Scope
  • The questions in this survey relate only to the operating rules and not the underlying standards which the operating rules support.
  • The survey relates only to the operating rules which are currently adopted for use (Eligibility, Claim Status, ERA, and EFT), as that is the scope of the ACA Review Committee.
  • There are just 20 multiple choice survey questions (should take 5-15 minutes to complete).
To learn more about the survey, click here to listen to a May 19th
special webinar audiocast or review the slide deck.

Background
Under the auspices of the National Committee on Vital Health Statistics (NCVHS), the ACA established Review Committee will:
  • Review currently adopted standards, operating rules, code sets and identifiers used in each of the HIPAA-named administrative simplification transactions and evaluate the degree to which they meet current industry business needs, and, if needed, make recommendations to HHS for update or improvement.
  • Identify transactions, standards, operating rules, code sets and identifiers used in administrative simplification that require changes, deletions or new versions in order to meet industry needs.

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, April 2, 2015

A CORE Special Event: Healthcare Thought Leader Series WEBINAR 4/29

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A CAQH CORE Special Event

CORE's HEALTHCARE THOUGHT LEADER SERIES

Wednesday, April 29, 2015  
2:00-3:00 PM EST

There is no fee to attend.

A CONVERSATION WITH NORTH HIGHLAND'S
CHIEF MEDICAL OFFICER, RICARDO MARTINEZ, M.D., AND
NATIONAL HEALTHCARE LEAD, FLETCHER LANCE

"Meeting at the Intersection of Clinical and Administrative Data"

This is the second in a year-long series of national webinars sponsored by CAQH CORE that will feature health care thought leaders and other innovators. 

If you are a provider, work for providers or work with providers, you'll want to join us for this special look at the future of the integration of clinical and administrative health care data, with North Highland's Chief Medical Officer Ricardo Martinez, M.D., and National Healthcare Lead Fletcher Lance. 

As a nationally recognized board-certified emergency physician and thought leader in healthcare, Dr. Martinez oversaw administrative and clinical operations for one of the largest emergency department management firms in the nation, serving more than 180 hospitals in 23 states. In addition, he served as the Administrator of the National Highway Traffic Safety Administration (NHTSA) and since 1988, has been the senior medical advisor to the National Football League for the Super Bowl. 

Fletcher Lance is National Healthcare Lead at North Highland. He has more than 18 years of experience in healthcare management and information technology consulting. He specializes in IT implementations, process improvement, clinical management, patient management and IT evaluation and selection.

Both of these experts engage with providers across the country and will offer a unique view from both the physician and practice management perspective on the value of integrating clinical and administrative functions and data, including:
  • The shifting payment landscape
  • The use of decision analytics, standards and operating rules to streamline business performance and optimize patient care.
  • How data can lead to operational improvements
Who Should Attend
This webinar is designed for all HIPAA-covered entities for which the Federally mandated standards and operating rules apply: Hospitals, providers, health plans, vendors and clearinghouses. Providers, vendors, practice managers, health plans and others who work with providers are encouraged to attend. 

 
Register Now to Reserve Your Spot for This Free Education Session
 

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

Wednesday, March 25, 2015

REMINDER: Join Us for the CAQH CORE MARCH Town Hall National Webinar TODAY

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REMINDER

Join Us for the CAQH CORE March Town Hall National Webinar

A Free Information Session Open to All Stakeholders

Tuesday, March 24
2:00 - 3:00 pm ET
  
There is no fee to attend.
   
Please join us for our quarterly Town Hall Call, a 60-minute interactive session to get the latest information on CAQH CORE and related CAQH activities, including:

Progress on CAQH CORE Phase IV Operating Rules Development
You'll receive insights about continuing progress on the development of the Phase IV CAQH CORE Operating Rules to address the remaining ACA mandates and learn about the process toward final balloting.

CAQH CORE Operating Rule Maintenance Processes
CAQH CORE continues its maintenance process of the CORE Code Combinations. Hear updates on important maintenance process, including the recent work on the Market-based Review by the CORE Code Combination Task Group, and how you can contribute.

Voluntary CORE Certification Update
As we approach the 180 CORE Certifications milestone, get an update on Voluntary CORE Certification and hear about recently certified entities and upcoming improvements to the user experience of obtaining CORE Certification.

CAQH Index
The CAQH Index results are in.  The 2014 Index is based on detailed data submissions from health plans representing 112 million enrollees - almost 45 percent of the privately insured U.S. population. Find out more from CAQH staff about the Index results and how you can benefit from this information.

CAQH Solutions
CAQH Solutions will provide an update on their newly-launched CAQH ProView®, the latest iteration of its highly successful Universal Provider Datasource® with improved usability and features.

Q&A
Take part in Q&A.



 

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. If you have any questions, please contact CORE@caqh.org.

Monday, March 16, 2015

REMINDER, CAQH Webinar Tomorrow: Healthcare Adoption & Savings in Electronic Business Transactions - Tuesday, 3/17

CAQH News 
REMINDER

New CAQH Index™ Research Findings:

Progress, Gaps and Savings
Moving Towards Electronic Business Transactions in U.S. Healthcare

 
Tuesday, March 17, 2015
2 - 3 p.m. EDT

Register now - participation is limited.
There is no fee to attend.

CAQH will release its 2014 CAQH Index and provide an overview of key findings in this special briefing for healthcare stakeholders.

Learn about progress made, gaps remaining and savings potential of the move from billions of manual healthcare claims- and benefits-related transactions to electronic transmission.

The 2014 CAQH Index examines adoption of standardized (HIPAA) electronic transactions, inducing some of the most common business interactions between health plans and healthcare providers: claim submission, eligibility and benefit verification, prior authorization, claim status inquiries, claim payment, and remittance advice.

The briefing will address:
  • How much can U.S. healthcare save by completing the switch?
  • How much of the savings belongs to providers and health plans?
  • What are the biggest opportunities to reduce costs?
  • Which electronic transactions show the most progress?
  • How can individual health plans and provider practices determine their own potential savings?
  • How can health plans and healthcare providers participate in the 2015 Index?
Speakers include:
  • Jeff Lemieux, Director, Research, CAQH       
  • Gwendolyn Lohse, Deputy Director, CAQH and Managing Director, Committee on Operating Rules for Information Exchange (CORE)
  • Andrew Naugle, MBA, Principal and Healthcare Management Consultant, Milliman, Inc.
Register now - participation is limited.
There is no fee to attend.

About CAQH®
CAQH, a non-profit alliance, is the leader in creating shared initiatives to streamline the business of healthcare. Through collaboration and innovation, CAQH accelerates the transformation of business processes, delivering value to providers, patients and health plans. Visit www.caqh.org and follow us on Twitter: @caqh and Linkedin

Friday, March 6, 2015

Join Us for the CAQH CORE MARCH Town Hall National Webinar

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Join Us for the CAQH CORE March Town Hall National Webinar

A Free Information Session Open to All Stakeholders

Tuesday, March 24
2:00 - 3:00 pm ET
  
There is no fee to attend.
   
Please join us for our quarterly Town Hall Call, a 60-minute interactive session to get the latest information on CAQH CORE and related CAQH activities, including:

Progress on CAQH CORE Phase IV Operating Rules Development
You'll receive insights about continuing progress on the development of the Phase IV CAQH CORE Operating Rules to address the remaining ACA mandates and learn about the process toward final balloting.

CAQH CORE Operating Rule Maintenance Processes
CAQH CORE continues its maintenance process of the CORE Code Combinations. Hear updates on important maintenance process, including the recent work on the Market-based Review by the CORE Code Combination Task Group, and how you can contribute.

Voluntary CORE Certification Update
As we approach the 180 CORE Certifications milestone, get an update on Voluntary CORE Certification and hear about recently certified entities and upcoming improvements to the user experience of obtaining CORE Certification.

CAQH Index
The CAQH Index results are in.  The 2014 Index is based on detailed data submissions from health plans representing 112 million enrollees - almost 45 percent of the privately insured U.S. population. Find out more from CAQH staff about the Index results and how you can benefit from this information.

CAQH Solutions
CAQH Solutions will provide an update on their newly-launched CAQH ProView®, the latest iteration of its highly successful Universal Provider Datasource® with improved usability and features.

Q&A
Take part in Q&A.



 

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. If you have any questions, please contact CORE@caqh.org.

SPECIAL EVENT: CORE's HEALTH CARE THOUGHT LEADER SERIES

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A CAQH CORE SPECIAL EVENT
CORE's HEALTH CARE THOUGHT LEADER SERIES

TUESDAY, MARCH 10, 2015

2:00 - 3:00 PM EST

There is no fee to attend.

 
ONE-ON-ONE WITH ROBERT S. TAGALICOD,
Acting Director, Domain Governance Office (DGO), and Acting Chief Enterprise Architect, Department of Health and Human Services (HHS)

This is the first in a year-long series of national webinars sponsored by CAQH CORE that will feature health care thought leaders and other innovators.

Join us for this inaugural CORE thought leader session with Rob Tagalicod. As former director of CMS' Office of E-health Standards and Services, Rob is now at HHS as the Acting Director of DGO in the Office of the Secretary, while also serving as its Acting Chief Enterprise Architect.

Learn about the HHS efforts in enterprise IT governance and how the recently passed legislation will impact IT-related investments at HHS. Why is this important?

According to Gartner, the Enterprise Project Management Office is a rapidly emerging concept. It forecasted that by the end of 2015, 30% of all Fortune 1000 companies will adopt some version of it in the next few years. The HHS move toward enterprise management of its IT investments is in recognition of these trends.


Who Should Attend
This webinar is designed for all HIPAA-covered entities for which the Federally mandated standards and operating rules apply: Hospitals, providers, health plans, vendors and clearinghouses.   


 

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.