OTHER NEWS
CAQH SOLUTIONS WEBINAR: A 360° View of Cigna-HealthSpring Strategies for Improving Provider Directories
October 26, 2017 ,12:00 PM to 01:00 PM EDT
Understanding the foundational elements and administrative processes needed to improve your health plan's provider directories is an essential first step to more accurate, timely data. Join Krista Lehm, Director, Delivery System Support at Cigna-HealthSpring and Ron Urwongse, Senior Product Manager at CAQH for a detailed discussion on:
- Reducing the directory errors deemed most critical by CMS and state regulators.
- Successfully engaging providers to update their practice data.
- Creating actionable policies for your plan to improve data monitoring.
CAQH CORE WEBINAR: Use and Adoption of Attachments in Healthcare Administration Part III: Clinical Document Metadata for Attachments
November 02, 2017, 02:00 PM to 03:30 PM EDT
There is 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 learn about the Clinical Document Metadata for Attachments (CDA). The webinar will also review the C-CDA/Meaningful Use requirements, among other related topics. This is the third webinar in the series on attachments and is intended as a technical training for intermediate and advanced audiences. Recordings and slide decks for Part I and Part II are available. Register.
CAQH CORE WEBINAR: Data Needs for Successful Value-based Care Outcomes
November 20, 2017, 02:00 PM to 03:00 PM EST
Emerging value-based payment (VBP) models are critically important to improving the quality and cost of healthcare. The national movement away from fee-for-service (FFS) to VBP is a massive undertaking, and one of the operational challenges inherent in the transition is appropriate use of clinical and administrative data. Guest speaker, Steven Waldren, M.D., Director of the American Academy of Family Physician’s Center for Health IT, will discuss the existing challenges as well as the operational capabilities needed to ensure accurate and reliable data for a VBP system. Register.
Did You Miss our #HITsm Twitter Chat on Provider Data?
CAQH hosted a recent #HITsm Twitter chat on the role of provider engagement in improving data accuracy. The chat covered topics on how collaboration and enhanced communication can ease the burdens on providers and users of provider data. Read the transcript.
CAQH on the Road
CAQH will be exhibiting or speaking at the following events:
CBI Electronic Benefit Verification and Prior Authorization Summit
October 24-25, San Francisco, CA
Robert Bowman, CAQH CORE Director, will present on October 24 at 4:45 p.m. on CAQH CORE and its recent work to enhance electronic prior authorization for the healthcare industry.
Medicaid Managed Care Annual Conference
October 29-31, Washington, D.C.
Atul Pathiyal will discuss provider data accuracy in a presentation with Krista Lehm from Cigna-Health Spring.
New CAQH Staff
Eric Bravo, Operations Support Specialist
Eric provides operations support for CAQH Solutions, including EnrollHub and COB Smart. He recently completed his graduate degree at American University in Public Affairs.
Anil Das, Senior Technology Manager
Anil will be responsible for architectural improvements, feature design, implementation oversight and vendor management for COB Smart. Prior to joining CAQH, he was a technical manager for Abila, a developer of association management software. Anil has more than two decades of experience in the software development industry building, delivering and integrating application software.
Mahender Kalashikam, Product Manager
Mahender is a product manager for CAQH ProView and SanctionsTrack. Prior to joining CAQH, he was a product manager at comScore for Ad Metrix and a lead analyst at Cognizant.
Charles (Chas) Kelley, Project Manager, Solutions
Chas will be leading cross-department projects for CAQH Solutions. He has more than 20 years of IT project management experience in the financial services, education, medical and software industries. He joins CAQH from CNL Software where he was a program manager.
Hanna Wassihun, Business Analyst
Hanna is a business analyst for CAQH ProView and EnrollHub. Previously, she held positions at Booz Allen Hamilton, CareFirst and the American Red Cross
CAQH in the News
Paper is Hurting all Healthcare Stakeholders, The American Journal of Managed Care
Cigna, BCBS plans & more to participate in ADA's streamlined credentialing process, Becker’s Dental + DSO Review
ADA collaboration seeks to help streamline credentialing process for dentists, ADA News
CAQH lays out gradual changes to efficiency, flexibility and standardization of provider data, Fierce Healthcare
CAQH Seeks Stakeholder Feedback on Provider Data Roadmap, EHR Intelligence
Physicians protected from health plan credit card fees, AMA Wire
HHS withdraws three proposed rules, including drug payment model, AHA News
Revenue Leakage in Hospitals and Health Systems: 10 Numbers You Absolutely Must Know, RCM Answers
Leading by Following the Rules, Availity Blog
EFT Flaws, Paper Enrollment Key Electronic Claims Management Issues, RevCycleIntelligence
17% of Practices Pay Fees for Electronic Healthcare Payments, RevCycleIntelligence
1 in 6 practices paying fees for receiving electronic payments, Health Exec
MGMA: One in Six Practices Pay Fees for Electronic Payments, Medscape
CAQH CORE Compliance: The Voluntary Mandate That Isn’t, HFM Magazine
4 Ways to Improve Payer-Provider Data Management, Health IT Outcomes
Stopping Revenue Leakage – A Quick Start Guide, RCM Answers
The slow uptake of the EFT/ERA mandate matters, Becker’s Hospital Review
Clampdown on network directories fueling online solutions, Healthcare Dive
Why Manual Processes Are a Barrier To Payer-Provider Collaboration, Health IT Outcomes
