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     Health Reform

November 18, 2011

NCVHS Enrollment Testimony by CAQH 

NCVHS Maintenance and Updating of Stds and ORs Testimony by CAQH

November 17, 2011

NCVHS Claims Attachment Testimony by CAQH 

September 6, 2011

CAQH CORE Comment Letter to CMS RE: CMS-0032-IFC

August 22, 2011

CAQH CORE Model Comment Letter RE: CMS-0032-IFC

August 1, 2011

CAQH CORE Request for CORE Participant Input on the July 8th IFR for Eligibility and Claim Status

(Supplement - Overview of CAQH CORE Phases I & II)

CAQH CORE and NACHA letter to NCVHS RE: Update on Draft CAQH CORE EFT and ERA Operating Rules

July 8, 2011

IFR Issued on CMS Administrative Simplification: Adoption of Operating Rules for Eligibility for a Health Plan and Health Care Claim Status Transactions

April 27-28, 2011
NCVHS Subcommittee on Standards: ACA Administrative Simplification Operating Rules Hearing

CORE Testimony on The Acknowledgment Transaction Standard
CORE written testimony
CORE presentation

CORE Testimony on Maintenance and Modifications to Standards and Operating Rules
CORE written testimony
CORE presentation

March 23, 2011
NCVHS Letter Issued to HHS Recommending CAQH CORE to Develop National EFT and ERA Operating Rules

December 3, 2010
NCVHS Subcommittee on Standards: ACA Administrative Simplification Operating Rules Hearing


Part I:

CORE Eligibility and Claims Status Update Testimony:
CORE written testimony
CORE oral testimony
(Set audio track to 50:00)
CORE presentation


Part II:

CORE ERA/EFT Testimony:
CORE written testimony
CORE oral testimony
(Set audio track to 4:25:30)

General

Search by date: CAQH CORE Activities Related to Upcoming Mandate (includes testimony at NCVHS Hearings)


More information on the Upcoming Operating Rules Mandate


  

CORE Phase II
Committed Organizations:

Are You Ready to Submit
Your Phase II Pledge?


  

THE PHASE II RULES

CORE Phase II
Scope and Rules


  

STATE ACTIVITIES

CORE State Activity


  

UPCOMING CORE PRESENTATIONS:

NCPDP Standards in Pharmacy Rules and Regulations: From Inception to Implementation
2/7/12

HIMSS12 Annual Conference & Exhibition
CAQH Booth #9013
2/20/12 - 2/24/12

20th National HIPAA Summit
3/26/12 - 3/28/12

NACHA Payments 2012
4/29/12 - 5/2/12

21st Annual WEDI National Conference

4/30/12 - 5/3/2012

View the complete list of 2012 CORE presentations.


CORE Overview Presentation


CORE Provider Presentation

CORE Statements of Support

“The AHA expresses its support for designation of the Committee on Operating Rules for Information Exchange (CORE) of the Council for Affordable Quality Healthcare (CAQH) as the entity responsible for the development of “operating rules” for all HIPAA transaction standards as authorized by the Patient Protection and Affordable Care Act (ACA).”

- American Hospital Association
[View the complete AHA letter of support.]


"The development of operating rules to support the exchange of administrative transactions outlined in the Patient Protection and Affordable Care Act (PPACA) will be a significant milestone towards administrative simplification. The Blue Cross and Blue Shield Association believes that CAQH/CORE is well positioned to meet PPACA’s requirements for developing operating rules.

Given its history of:

  • multi-stakeholder collaboration resulting in successful implementations;
  • alignment with the wide range of existing standards and Federally-sponsored efforts; and
  • administrative efficiencies and savings achieved,

CORE can provide a solid foundation to deliver thoughtful, actionable operating rules within the timeframes required by PPACA.

For these operating rules to be successful, substantive standards need to be in place. From its inception, CORE has embraced the use of established standards. A strong collaboration between CORE and standard setting organizations – with HHS delineating the steps to be taken by the standards organizations and the steps to be taken by CORE – will leverage that experience and position the industry to deliver on the intent and timing of the legislation."

- Blue Cross and Blue Shield Association


"The leadership of CAQH has been remarkable in bringing the industry together to advance standards-based electronic administration. We were thrilled to be able to shine a spotlight on their success. We hope that the rest of the industry will join their efforts to develop and deploy common approaches to exchanging data."

- Former Speaker of the House Newt Gingrich,
Founder of the Center for Health Transformation


"The standardized operating rules created by the CAQH CORE multi-stakeholder initiative is an important effort that will dramatically improve the efficiency and accuracy of electronic communications between patients, physicians and payers. This initiative complements the AMA’s Heal the Claims Process™ campaign, which has made the elimination of waste and confusion from the medical claims process a top priority."

- Joseph M. Heyman, MD
Chair of the American Medical Association Board of Trustees


"The ongoing efforts of CAQH to put forth standard rules for electronic eligibility is an important step in simplifying the administrative process for providers. America's Health Insurance Plans is pleased to participate in this important work and recognize the CORE operating rules as a key component of an industry-wide provider connectivity strategy."

- America's Health Insurance Plans


"Through CORE, the various sectors of the industry have come together to create a thoughtful and sustainable path to transparency."

- Karen Greenrose
President and CEO
AAPPO


"CORE’s work to simplify access to critical patient administrative information complements similar efforts in the clinical arena. The Phase II rules are an important step forward in facilitating system interoperability and achieving integrated patient data exchange."

- H. Stephen Lieber, CAE
President and CEO
HIMSS


"CORE is nothing short of groundbreaking. The initiative is helping to define the future of electronic communication between health plans and providers by bringing together industry stakeholders to develop standard rules that promote interoperability and significantly simplify provider access to critical patient insurance coverage."

- Bob Greczyn
CEO and President
Blue Cross and Blue Shield of North Carolina