CAQH today announced that, for the sixth time, the organization has been named one of the “
The nation’s physician practices, health plans and health systems rely on CAQH to manage and exchange data, streamline business processes and save time and money
CAQH today announced that now more than two million healthcare practitioners use its provider data management solutions to enter, update and verify professional and practice information and securely share it with the organizations that they authorize. Because this information is entered by providers themselves, verified with authoritative and primary sources and validated using advanced data science, it is an unmatched resource for credentialing, directory and network management and other functions essential to our healthcare system.
10th anniversary report reveals spending increased $18 billion due to higher post-pandemic utilization and staffing costs
CAQH today released its tenth annual Index report measuring the progress healthcare payers and providers have made automating electronic business processes. This year’s report found that, while automated workflows implemented during COVID-19 increased efficiency, staffing challenges and greater healthcare utilization contributed to overall higher year-over-year administrative spending.
Performant Healthcare Solutions (Nasdaq: PFMT), (Performant), a leading provider of technology-enabled payment integrity, eligibility, and related analytics services, and Council for Affordable Quality Healthcare, (CAQH), an industry alliance of nearly 1,000 health plans, 2 million providers, and other healthcare stakeholders working to solve healthcare business challenges, today announced a partnership to improve payment integrity and coordination of benefits (COB) programs for health plans, including regional and community-based health plans.
Vyne Dental receives certification for Eligibility and Benefits Operating Rules
CAQH CORE announced today that it has awarded 400 certifications to healthcare organizations that conform to CAQH CORE Operating Rules. In becoming certified, these providers, health plans, government entities, clearinghouses and vendors have demonstrated their commitment to automation, interoperability and efficient business processes.
Industry approved guidelines support better administrative operations and information at the point of care
CAQH CORE, a multi-stakeholder organization representing a broad spectrum of health plans, providers, vendors and government entities, today released new operating rules to improve day-to-day healthcare operations and how plans and providers exchange information related to benefits coverage and supplemental documentation. More than 88 percent of participating organizations approved adoption of these rules.
While volume of administrative transactions declined, increases in the cost of manual processes resulted in higher medical industry spending
WASHINGTON, DC—JANUARY 31, 2022—CAQH today released the ninth annual report measuring the progress healthcare payers and providers are making to use electronic business processes.
Enhancements to CAQH ProView for Groups will reduce administrative burdens, improve data accuracy and support compliance with the No Surprises Act
CAQH today released enhancements to its flagship provider data platform, CAQH ProView, that will streamline how hospitals and group practices manage credentialing and directory information and share it with health plans. Now, with CAQH ProView for Groups, practice managers can generate rosters of physicians, confirm directory data and share it with selected health plans in one secure web portal.
CAQH today announced that Rick Ratliff has joined the organization as Senior Vice President for Business Development and Marketing.
CAQH CORE convenes stakeholders from across healthcare to develop recommendations for meeting No Surprises Act requirements
WASHINGTON, DC—NOVEMBER 9, 2021—CAQH CORE released guidance today for how healthcare providers and plans can meet the Advanced Explanation of Benefits (EOB) requirements included in the No Surprises Act, signed into law in December 2020.