CAQH has released the seventh annual report measuring the progress made by the healthcare industry in reducing the costs and burden associated with administrative transactions through automation. The 2019 CAQH Index found that, of the $350 billion dollars widely cited as the cost of administrative complexity in the US healthcare system, $40.6 billion is spent on eight administrative transactions.
Over the years, healthcare industry stakeholders have implemented a multitude of methods connecting applications, systems and networks to exchange administrative and clinical healthcare data. This has resulted in a fragmented ecosystem that is impeding interoperability and administrative simplification.
Last year, CAQH implemented several enhancements to CAQH ProView, many of which were inspired by feedback we have received by users. Here are a few highlights:
Two of the nation’s largest healthcare organizations have earned Phase III CAQH CORE certification in recognition of their commitment to streamlining the electronic funds transfer (EFT) and electronic remittance advice (ERA) processes. Learn more about CAQH CORE Phase III rules.
In recognition of National Provider Directory Data Improvement Month, CAQH will host a series of several webinars for small provider networks, Medicare Advantage plans and Medicaid plans to share best practices and strategies for overcoming data integrity challenges.
Topics for these sessions include common errors in data collection, tips for cleansing and verification, how directory information is used, what states are doing to improve their directories and how plans with small provider networks can meet their objectives.