Past CAQH Events

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Join CAQH CORE staff for an update on the Advanced Explanation of Benefits (EOB) Advisory Group’s efforts to develop consensus-based recommendations to support components of the Advanced EOB requirements in the No Surprises Act.

What will you learn by registering for this webinar?
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CAQH CORE Participants are invited to join the CAQH CORE Board Chairs and leadership for a discussion on 2022 goals and priority initiatives. Topics covered will include:   
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The X12 005010X221A1 Health Care Claim Payment/Advice (835) TR3 Implementation Guide is the HIPAA-adopted standard for claim payment/advice. This guide provides standardized data content for creation and use of the 835 transaction. The 835 is used throughout the healthcare marketplace by providers to post claim payments and adjustments to their accounting systems. CAQH CORE Payment & Remittance Operating Rules help the industry more effectively implement and use the 835 transaction to understand payment decisions and optimize denial management.
Presentation Resources
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CAQH CORE, together with Cleveland Clinic and PriorAuthNow, is pleased to share additional findings highlighting the impact of greater prior authorization automation and workflow integration leveraging standards and operating rules at Cleveland Clinic. Cleveland Clinic will share how the implementation of an integrated prior authorization solution is improving the ability of staff to conduct prior authorizations and creating a more efficient process.

This is the second case study webinar in a series related to the CAQH CORE Pilot & Measurement Initiative, which works with industry organizations to measure the impact of standards and operating rules on efficiency metrics and staff experience. The recording for the first webinar in the series can be accessed HERE.

What will you learn by registering for this webinar?

  • Hear more about Cleveland Clinic’s prior authorization experience with the PriorAuthNow solution, and its commitment to prior authorization standardization.
  • Learn about the long-term impact that enhanced automation leveraging standards and operating rules has on provider staff administrative burden and turnaround time, as well as other metrics.
  • Discuss how operating rules enable a more optimized prior authorization process and can seamlessly integrate into the provider workflow.

Our panel:

  • Daniel Medve, Director, Revenue Cycle Management, Cleveland Clinic
  • Dan Dedels, Senior Vice President, Customer Operations, PriorAuthNow
  • Bob Bowman, Director, CAQH CORE
  • Kristine Burnaska, Director, CAQH Explorations
  • Marianna Singh, Senior Associate, CAQH CORE
Webinar
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Join CAQH CORE and Nacha for this informative webinar on the impact of the use electronic healthcare transactions and their associated operating rules on dental practice workflow and revenue. You will get an overview of the CAQH Index, ACH volumes, and how payment and remittance standards and operating rules can improve your billing and collection processes. We will also hear from Dr. Sara Stuefen whose practice who has successfully transitioned to full use of electronic transactions. They will walk through their implementation experience and share the benefits and lessons learned.
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Join CAQH CORE for an update of its work efforts and priority initiatives for 2021 to deliver administrative efficiency and value to the healthcare industry. Topics will include:
Presentation Resources
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In 2020, total spending on prior authorization increased to $767 million, with 86 percent of the spending incurred by providers. However, the CAQH Index estimates that $417 million could be saved annually if plans and providers moved to fully electronic transactions.
Presentation Resources
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One of several deadlines from the Centers for Medicare and Medicaid Services (CMS) Patient Access and Interoperability Final Rule went into effect on July 1, 2021. The standards pose large hurdles for health plans and app vendors with many in the industry still unclear on how to support the scale of interoperability needed.
Presentation Resources
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At the start of the pandemic, telehealth visits increased by over 7,500%. Join CAQH CORE and WEDI for a webinar on this rapidly expanding digital health landscape. Get an overview of WEDI and CAQH/CAQH CORE efforts related to telehealth. Our guest speakers will present and engage in a live discussion providing insights on key topics including:
Presentation Resources
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Attend this informative webinar for an industry update on the status of electronic healthcare payments, including information from the CAQH Index, NACHA Volumes, and InstaMed’s “Trends in Healthcare Payments” report. In addition, learn how payment and remittance standards and operating rules can improve your billing and collection processes. We will have a conversation with our speakers on the latest trends and ways to benefit from standardization to improve revenue cycle management.
Presentation Resources