On May 1, 2020, the Centers for Medicare and Medicaid Services (CMS) released the Interoperability and Patient Access final rule, with the goal of giving patients better access to their health information. Great progress has been made since the rule was enacted.
Displaying 11 - 20 of 139 blogs
CAQH CORE has announced five new Board members to help advance CORE’s mission to drive the creation and adoption of healthcare operating rules, accelerate interoperability and align administrative and clinical activities. Please join CAQH CORE in welcoming: Anika Gardenhire, RN, CHCIO, Chief Digital Officer, Centene Corporation
Patients rely on a variety of sources to find the care they need from the clinicians they prefer. These include search engines, doctor rating sites and referrals. Among the more common resources that patients use are health plan provider directories which, according to two surveys conducted in 2020, more than half of patients use to select a physician.
According to a recent CAQH ProView® provider data analysis, dentists who share their professional and practice information with multiple plans using a single platform are far more likely to keep their information updated than those who use multiple methods. Specifically, almost 90 percent of dentists who use ProView to share provider data with 10 or more dental plans, keep their profile current — meaning they attest to the accuracy of their self-reported data every four months.
Automated credentialing, a process in which a provider completes a plan enrollment application electronically, has seen slower adoption in the dental industry. Today, many dental practices are still completing paper-based credentialing applications and submitting them to plans via email or fax.
Dental provider credentialing, a process most often associated with a dentist contracting with an insurance carrier, can be cumbersome for both dentists and dental plans. One reason is related to slow adoption of automated solutions resulting in continued reliance on paper-based submissions of enrollment applications. Even when automated solutions are used, a dentist may need to access a separate platform to complete the enrollment application for each contracted plan.
2021 CAQH Index: COVID-Related Challenges Resulted in Increased Adoption of Electronic Business Processes and Greater Opportunities for Future Savings
CAQH has released the ninth annual report measuring the progress healthcare payers and providers are making to use electronic business processes.
The No Surprises Act of 2021 takes another step toward mandating that health plans improve the accuracy of their provider directories. The Act includes specific requirements health plans must meet by January 2022. Are you ready? Download the brief to learn more, and request a demonstration today.
How has COVID-19 impacted administrative transactions? In May 2021, CAQH Explorations released an issue brief examining the impact of COVID-19 on transaction volumes. The initial results indicated that most administrative transactions experienced a decline in volume during the early months of the pandemic (January – May 2020) compared to the same timeframe in 2019.