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.
About
CORE
Solutions
Explorations
CAQH CORE Participant Calendar
CORE Events
Upcoming CAQH CORE Events
Webinar
November 21, 2019 | 02:00 PM EST
There are no upcoming CAQH CORE conference events to display.
There are no upcoming CAQH CORE meeting events to display.
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.
Past CAQH CORE Events
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
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
Speaker: Troy Smith, Vice President, BCBSNC
Presentation 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
Conference
September 16, 2019 to September 19, 2019
Orlando, FL
We will be conducting a DZ Demo on Wednesday, September 18 at 12:42 pm. Drop by to learn how to improve directory accuracy with DirectAssure - powered by CAQH ProView.
Visit us at CAQH booth #310 to learn more about our work to relieve the administrative burden for the dental industry.
Visit us at CAQH booth #310 to learn more about our work to relieve the administrative burden for the dental industry.
Conference
July 30, 2019 to July 31, 2019
Chicago, IL
CAQH CORE will participating in several panels during the WEDI 2019 Summer Forum:
Tuesday, July 30, 2019 | 3:30 - 4:30 PM: "New Technology - How the Standards Work Together", April Todd (CAQH CORE)
Wednesday, July 31, 2019 | 8:50 - 9:45 AM: "State of Prior Authorizations", Rachel Goldstein (CAQH CORE)
Wednesday, July 31, 2019 | 10:15 - 11:00 AM: "How 278 Prior Authorization Transaction, Attachments and FHIR Can Work Together", April Todd (CAQH CORE)
Tuesday, July 30, 2019 | 3:30 - 4:30 PM: "New Technology - How the Standards Work Together", April Todd (CAQH CORE)
Wednesday, July 31, 2019 | 8:50 - 9:45 AM: "State of Prior Authorizations", Rachel Goldstein (CAQH CORE)
Wednesday, July 31, 2019 | 10:15 - 11:00 AM: "How 278 Prior Authorization Transaction, Attachments and FHIR Can Work Together", April Todd (CAQH CORE)
Resources
Conference
June 23, 2019 to June 26, 2019
Orlando, FL
CAQH CORE will be on-site at HFMA 2019 for a workshop:
Sunday, June 23, 2019 | 12:30 - 3:30 PM: "Reforming the Prior Authorization Process", Robert Bowman (CAQH CORE)
Sunday, June 23, 2019 | 12:30 - 3:30 PM: "Reforming the Prior Authorization Process", Robert Bowman (CAQH CORE)
Conference
May 20, 2019 to May 22, 2019
San Diego, CA
CAQH CORE and CAQH Explorations will be on-site for two 2019 WEDI Spring Conference presentations:
Tuesday, May 21, 2019 | 4:15 - 5:00 PM: "Delivering More Efficient Prior Authorization and Attachment Electronic Transactions through Operating Rules", Taha Anjarwalla and Rachel Goldstein (CAQH CORE).
Wednesday, May 22, 2019 | 3:15 - 4:00 PM: "2018 CAQH Index Findings: Immediate Opportunities to Save Time and Reduce Business Cost, Kristine Burnaska", (CAQH Explorations).
Tuesday, May 21, 2019 | 4:15 - 5:00 PM: "Delivering More Efficient Prior Authorization and Attachment Electronic Transactions through Operating Rules", Taha Anjarwalla and Rachel Goldstein (CAQH CORE).
Wednesday, May 22, 2019 | 3:15 - 4:00 PM: "2018 CAQH Index Findings: Immediate Opportunities to Save Time and Reduce Business Cost, Kristine Burnaska", (CAQH Explorations).
Conference
April 29, 2019 to May 01, 2019
Minneapolis, MN
The 2019 National Dental EDI Council EDI Summit will be featuring two CAQH presentations:
Tuesday, April 30, 2019 | 4:30 - 5:30 PM: "Delivering Value Through Electronic Healthcare Attachments", Taha Anjarwalla (CAQH CORE).
Wednesday, May 1, 2019 | 9:45 - 11:00 AM: "Maximize Dental Efficiencies Through the CAQH Index®", Kristine Burnaska (CAQH Explorations).
Tuesday, April 30, 2019 | 4:30 - 5:30 PM: "Delivering Value Through Electronic Healthcare Attachments", Taha Anjarwalla (CAQH CORE).
Wednesday, May 1, 2019 | 9:45 - 11:00 AM: "Maximize Dental Efficiencies Through the CAQH Index®", Kristine Burnaska (CAQH Explorations).
There are no past CAQH CORE meeting events to display.
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
Conference
September 16, 2019 to September 19, 2019
Orlando, FL
We will be conducting a DZ Demo on Wednesday, September 18 at 12:42 pm. Drop by to learn how to improve directory accuracy with DirectAssure - powered by CAQH ProView.
Visit us at CAQH booth #310 to learn more about our work to relieve the administrative burden for the dental industry.
