CAQH White Paper: The Hidden Cause of Inaccurate Provider Directories
A recent CAQH survey uncovered the administrative burden on providers associated with maintaining provider directories.
The survey of 1,240 physician practices, conducted in September 2019, determined that directory maintenance costs practices nationwide $2.76 billion annually. Updating directory information costs each practice $998.84 on average every month and requires the equivalent of one staff day per week.
For the third consecutive year, CAQH has earned certification for information security from the Health Information Trust (HITRUST) Alliance. By earning this status, CAQH has demonstrated that its solutions meet key healthcare regulations and requirements for protecting and securing sensitive private healthcare information. This achievement places CAQH in an elite group of organizations worldwide.
How Unclear Provider Data Contributes to Unexpected Medical Bills
In 2018, 57% of Americans received an invoice for services they thought were covered by insurance, also known as a “surprise bill.” Of that group, 20% reported that these charges were the result of visiting a doctor who was not part of their insurance network.
As part of their ongoing work to streamline the business of healthcare, CAQH CORE and X12 are collaborating on a new webinar series. These educational sessions aim to close knowledge gaps and support industry professionals navigating standard transactions and how they interact with the CAQH CORE Operating Rules.