July 2018

10 Takeaways from the Latest CAQH Index Report

July 2018

The healthcare industry has made moderate progress in the adoption of electronic business transactions, but significant savings potential remains for healthcare providers and health plans, according to the 2017 CAQH Index released on June 14th. The fifth annual CAQH Index measures adoption, costs and provider labor time associated with the most common administrative transactions conducted between health plans and providers.

CAQH Earns HITRUST CSF Certification, Demonstrating Commitment to Information Security

July 2018

CAQH has achieved Certified status for information security by the Health Information Trust (HITRUST) Alliance. The HITRUST certification validates that CAQH meets key healthcare regulations and requirements for protecting and securing sensitive private healthcare information. The certification applies to CAQH infrastructure, security and privacy programs and the entire portfolio of CAQH Solutions (CAQH ProView, DirectAssure, VeriFide, EnrollHub, SanctionsTrack and COB Smart).

CAQH is Relocating

July 2018

CAQH is pleased to announce that our work to simplify the business of healthcare is having an increasing impact. As we hire more staff to meet new demands for our growing portfolio of solutions, we have outgrown our current office space.

CAQH is moving its physical address in Washington, DC, in August. CAQH will be relocating to:

2020 K Street, NW
Suite 900
Washington, DC 20006

OTHER NEWS

 

Upcoming Webinars

 

Phase IV Connectivity: Best Practices for Success

June 17, 2018 | 2:00 PM – 3:00 PM EDT

Phase IV CAQH CORE Operating Rule implementation is providing the healthcare industry value and efficiency, by having one standard for connectivity and reducing the complexity and cost of implementation. Do you or your organization have questions about connectivity and how to use the X.509 Client Certificate? Attend this webinar to ensure your implementation and certification experience is successful.

Register.

 

Plan Achieves 84% Accurate Directory

July 19, 2018 | 3:00 PM – 4:00 PM EDT

More than 1.2 million data confirmation calls, continued inaccuracies, and significant provider abrasion were a few reasons why a national health plan explored sustainable approaches to improve the data accuracy of their provider directory.

In this webinar, learn how DirectAssure®, the CAQH Solution to improve provider directory quality, simplified the health plan’s outreach process.

Results include:

  • 84% accurate directory data.
  • Reduced CMS audit vulnerability.
  • Improved member satisfaction.
  • Decreased provider abrasion and operational costs.

Register.

 

CAQH CORE Attachments Webinar Series: Case Study on Vyne's Use of Electronic Dental Claim Attachments

July 25, 2018 | 2:00 - 3:00 PM EDT

The CAQH CORE electronic healthcare attachments webinar series is a forum to highlight various industry approaches to electronic attachments. During this webinar, hear from Vyne, an EDI vendor, who will discuss their use of electronic dental claims attachments, including case studies from several dental providers.

Register.

 

Recent Webinars - Now Available On-Demand

 

Value-based Payment Webinar Series: The Role of Interoperability in Value-based Payment, Office of the National Coordinator for Health Information Technology Perspective

An interoperable health IT infrastructure is a critical component of health care transformation. The Office of the National Coordinator for Health Information Technology (ONC) is committed to working with implementers to use health IT and data to achieve successful value-based payment (VBP).

Watch the on-demand recording here.

 

The Midday Download: The Hidden Cost of Calls

Improving the quality of provider directories is resource-intensive and expensive. 
 
Gain insight into the common provider outreach methods many health plans use today, and their rate of success.

Watch the on-demand recording here.


CAQH on the Road

 

CAQH will be exhibiting and speaking at the following events:

 

WEDI Summer Forum

July 31 - August 1, 2018 | Chicago, IL

Attachments and prior authorization will be the two major themes at the 2018 WEDI Summer Forum. CAQH CORE Director Bob Bowman will give an update on each topic from 9:15 a.m. to 9:45 a.m. on both July 31 and August 1.

 

Medicaid Enterprise Systems Conference

August 13 - 16, 2018 | Portland, OR

Drop by booth #50 to learn about how CAQH can reduce the administrative burden in healthcare and pick up a box of sweet treats!

In addition to exhibiting, CAQH staff will also present in a breakout session on Tuesday, August 14th from 8:00 - 9:00 a.m. Sean Regunath, CAQH Senior Solutions Architect, is teaming up with Steven A. Smith, TennCare Assistant Director of Provider Services, to discuss a multi-stakeholder initiative to streamline provider enrollment, improve data and directory accuracy, reduce administrative costs and eliminate inconvenience for providers and plans alike.


New CAQH Staff

 

Samuel Adae, Senior Quality Assurance Engineer

Samuel is supporting CAQH Solutions and is initially focusing on CAQH ProView. He previously worked at Booz Allen Hamilton as a senior consultant in Quality Assurance.

 

Babajide “Charles” Adepoju, Business Analyst

A new Business Analyst working on CAQH ProView, Charles joins CAQH after previously holding positions at GovernmentCIO, Sedetos Global Solutions and Vogo Technologies.

 

Ogunyemi Akinbobola, Business Analyst

A new member of the Business Analysis team, Ogunyemi works on CAQH ProView. Before joining CAQH, she worked at Livanta LLC, ResConnect, and WyseNet Solutions. She is currently in her final year of graduate school at University of Maryland University College, pursuing a degree in Health Administrative Informatics.

 

Kristine Burnaska, Director, Research and Measurement

Kristine leads the annual CAQH Index, collaborates with CAQH Solutions on research activities and guides thought leadership projects. She has over 15 years of experience focusing on quantitative and qualitative research. Prior to joining CAQH, Kristine led a healthcare price transparency initiative at the non-profit Health Care Cost Institute.

 

Vijay Kotha, Senior Business Analyst

Vijay is assigned to CAQH ProView as a new member of the Business Analysis team. His past experience includes work at Pearson, the New York City Department of Transportation and Chandler Macleod Group Limited.

 

Sravani Koduru, Scrum Master/Product Manager

Sravani joins CAQH as a Scrum Master and Product Manager for CAQH ProView. With over a decade of experience, Sravani has managed various IT projects for several government agencies.

 

Crystal Page, Manager, Conferences

As a member of the Marketing and Communications team, Crystal is responsible for managing both CAQH participation in industry conferences, as well as CAQH-hosted events. She has more than 20 years of event management experience, with more than 10 years in the healthcare industry.

 

Makeda Ricketts, Senior Product Analyst

Makeda has joined CAQH as a Senior Product Analyst. In this role, Makeda is helping coordinate activities for the COB Smart work group, implement parts of the 2018 Product Roadmap and oversee the COB Trading Partner program.

 

Christine Steiffer, Senior UX/UI Designer

Christine works with the product management team to optimize the user experience of CAQH ProView, DirectAssure and SanctionsTrack. Her work in UX includes completed projects for several federal agencies during her time at Octo Consulting and SalientCRGT.

 

April Todd, Senior Vice President, CAQH CORE and Explorations

The new head of the CAQH CORE and Explorations teams, April joins CAQH from Avalere – an Inovalon Company, where she led data, analytic, strategic and product development functions focused heavily on value-based care. Prior to joining Avalere, April established the MNsure state health insurance exchange and served as the Minnesota State Health Economist.

 


CAQH News Highlights

 

All-in and Thumbs-up On Electronic Payment to Providers, Managed Care Online

3 common medical billing and coding challenges, Becker’s ASC Review

Report: Fully Adopting Transactions Standards Could Save $11.2 Billion a Year, AHA News

Exploring the Fundamentals of Medical Billing and Coding, RevCycle Intelligence

Digital Health Briefing: Automated claims present $11 billion savings opportunity, Business Insider

CAQH Index States Dentistry Lags Behind in Savings from Electronic Transactions, Dentistry IQ

Aetna Now Requires Contracted Physicians to Receive Their Payments Electronically, Physicians News Network

7 reasons why provider data is often inaccurate, Health Data Management

Provider Data Action Alliance releases road map for trustworthy provider data, Becker's Hospital Review