Past CAQH Events

Webinar
November 21, 2019 | 02:00 PM EST
Plan to Cast Your Vote: The CAQH CORE Phase IV Work Group recently passed a ballot approving updates to the Phase IV 278 Infrastructure Rule. The next step in the CAQH CORE voting process is the Final Vote.

Webinar
November 19, 2019 | 11:00 AM to 12:00 PM EST
Members expect their health plan to deliver reliable and accurate provider information, so they can find the care they need. But maintaining up-to-date, high quality provider directories is challenging—with about half of all provider location listings having at least one inaccuracy.
Join experts from non-profit alliance CAQH to learn about industry progress being made to improve provider directory quality and factors your plan should consider in its provider data management strategy. 

Webinar
November 13, 2019 | 02:00 PM to 03:00 PM EST
For Medicaid/MCO payers, quick and secure access to reliable, accurate health plan data continues to be an ongoing challenge. 

Webinar
November 05, 2019
Electronic remittance advice (ERA) and electronic claim payment, also referred to as electronic funds transfer (EFT), work in tandem to enable automated reconciliation and communication of reimbursement. An ERA is an electronic explanation of payments made to the provider by the health plan and includes information about the patient, the service or procedure performed, the provider, and any claims adjustments.
Presentation Resources

Webinar
October 22, 2019 | 02:00 PM EDT
Join this webinar to get an overview of the Roadmap for Driving High Performance in Alternative Payment Models, which was developed by the Health Care Payment Learning and Action Network (HCP LAN). This tool was designed to help healthcare stakeholders navigate alternative payment model (APM) implementations and contains the latest best practices and strategies for success. Webinar attendees will get critical insights to accelerate the shift towards an effective value-based payment system. 

Speaker: Aparna Higgins, Ananya Health Solutions LLC
Presentation Resources

Webinar
October 10, 2019 | 02:00 PM to 03:00 PM EDT
CAQH CORE will provide an update on its ongoing initiatives to deliver administrative efficiency and value to the healthcare industry. Highpoints include:
Presentation Resources

Webinar
October 04, 2019 | 02:00 PM to 03:00 PM EDT
Don’t miss out! CAQH CORE Value-based Payment (VBP) Advisory Group members will summarize insights gathered from this multi-stakeholder collaboration, which evaluated pain points caused by VBP across the traditional revenue cycle workflow and developed a list of opportunity areas for administrative simplification and clinical integration. Webinar attendees will also get an overview of an important contributor to the success of VBP implementation -- provider attribution.

Speaker: Troy Smith, Vice President, BCBSNC
Presentation Resources

Webinar
September 17, 2019 | 02:30 PM to 03:30 PM EDT
Health plans nationwide are striving to find cost effective ways to improve the accuracy of provider directories. Learn how CAQH has assisted a health plan in making significant achievements in improving the accuracy of their directories.
Join the conversation as we highlight how DirectAssure®:

Improved a health plan's overall provider response rate of 84 percent. 
Identified 40 percent of its existing practice locations as invalid. 
Resources:

Webinar
August 14, 2019 | 02:00 PM to 03:00 PM EDT
Join us on August 14, 2019 from 2-3 pm ET to hear from a health plan and a delegated group who are both using CAQH ProView for Groups to better share and manage delegated data.
What you will learn:

Why BCBSTN and Ballad Health chose to partner with CAQH
Their process for implementing CAQH ProView for Groups
How the solution is benefiting both sides
Best practices for adopting a similar process at your organization
Resources: 

Webinar
August 08, 2019 | 02:00 PM to 03:00 PM EDT
According to the CAQH Index Report, over 227 million electronic remittance advices (ERAs) were sent from health plans to providers in 2017. Providers rely on the ERA to understand why a claim was denied or adjusted and how, if possible, to recoup those dollars. However, if the codes used to convey a claim denial or adjustment on the ERA are unclear, both health plans and providers are subject to unnecessary administrative burdens through extraneous phone calls and redundant or ineffective claim resubmissions and appeals.
Presentation Resources

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