Why should a State Medicaid Agency pursue Voluntary CORE Certification for Phases I-III? View this recorded on-demand webinar to learn about CORE Certification and whether it is appropriate for your type of organization. View the recorded webinar.
May 4, 2017, 2:00 PM ET
There has been an expressed need for comprehensive and foundational knowledge on the industry use and adoption of attachments in the administration of healthcare. Register for this webinar to receive an overview of electronic claims attachments including the current exchange standards, the anticipated interim rule, and the key challenges and opportunities for stakeholders. Register now.
CAQH will be exhibiting or speaking at the following events:
DecisionHealth, Nashville, TN
Presentation (4:30 PM): What’s New with CAQH ProView?
Blue Cross Blue Shield Association National Other Party Liability Group, Glendale, AZ
April 25-28 – Visit the CAQH exhibit booth.
National Dental EDI Council EDI Summit, Scottsdale, AZ
May 1-3 (presentation date TBD)
Presentation: Voluntary CORE Certification: The Industry is Moving Forward!
WEDI 2017, Los Angeles, CA
May 16 (time TBD)
Panel Discussion: Navigating the Waters of HIT Certification
Randi Chapman, Director of State Relations
Randi will establish and maintain relationships with state agencies, state health plan and provider associations and other related stakeholders to ensure CAQH is aware of, and understands, state regulatory and legislative activity relevant to its initiatives. She has more than 15 years of government relations experience with executive branch leaders, legislators and external stakeholders. Randi was most recently Director, State Affairs for the Alzheimer’s Association.
Abbie Eastman, Desktop Support Manager
Abbie manages technical support services for CAQH IT and intranet systems. She previously served over twelve years in a variety of roles for the American Red Cross as a Systems Analyst, Product Manager, Manager of IT Application Support and Manager of HR Information Technology Vendor Relations.
Shruti Ghosh, Product Manager
Shruti is the newest member of the product team working to enhance and guide development of CAQH Solutions. Prior to joining CAQH, she was a product strategist and program manager for HCentive, Inc., a benefits management software company, and a healthcare consultant for Deloitte.
Jaime Gonzalez, Manager, Business Analytics
Jaime is developing a Business Analysis Center of Excellence to enhance analysis and data reporting for CAQH Solutions. He previously managed a team of IT Consultants at Kaiser Permanente and has served as Senior Business Analyst for ValueOptions, a behavioral health maintenance organization.
Sumalatha Gorrela, Senior Business Analyst
Sumalatha has joined the Business Analysis Center of Excellence as a senior analyst. She was previously a Senior Business Analyst at the Universal Service Administrative Company and has held analyst positions at CGI and CareFirst Blue Cross Blue Shield.
Yuvi Kochar, Managing Director, Technology and Operations
Yuvi is responsible for the overall information technology functions for CAQH Solutions, combining strategic leadership and tactical execution on the design and implementation of a comprehensive and evolving suite of solutions and services. Most recently as a consultant, he served as the Interim Chief Information Officer for a large consumer behavior measurement company. Yuvi has held a variety of IT leadership roles, including Vice President IT and Chief Technology Officer for Graham Holdings and Director of Global Delivery for Syntel.
Saravanan “Sean” Regunath, Senior Solutions Architect
Sean works to transform product concepts and requirements into high-level architecture used as the blueprint to build and implement new solutions. Most recently, he led a team at CNSI responsible for a number of healthcare systems and initiatives, including the Medicaid Management Information Systems for Michigan and Washington.
CAQH in the News
CAQH Software Aids Provider Credentialing Efforts – Health Data Management
Medical Coalition Calls for Prior Authorization Reform – Medscape
Free Registration required
My $100 Flu Shot: How Much Paper Waste Costs U.S. Health Care – The Huffington Post
No margin for error: Reduce rejected claims with accurate patient data – Healthcare Business & Technology
Relieving the pain of prior authorization delays – HealthcareIT News
Prior Authorization Still a ‘Pain Point’ for Providers – HealthLeaders Media
From Machine-Readable Provider Directories, A Preview Of A Revolution – Health Affairs Blog
HIMSS 2017: Prior authorization flaws require collaborative response – HealthExecutive
Using Bundled Payments to Pay Providers for mHealth Nudges – Revenue Cycle Intelligence
Aetna, Cigna Join 300 Organizations in CAQH CORE Phase III – Health Payer Intelligence
CORE certifications top 300 with Aetna and Cigna awards – Health Management Technology