Past CAQH CORE Events

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In a collaboration between the Centers for Medicare and Medicaid Services (CMS), WEDI and CAQH CORE, the CMS National Standards Group will provide an overview of the HIPAA Standards Exceptions Request Process to allow organizations to request an exception from the use of a standard from the HHS Secretary to test a proposed modification to that standard.
Following the presentation, time will be allocated for Q&A, with questions submitted prior to the webinar. Please submit your questions during the webinar registration process.
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CAQH CORE will provide an update of its 2020 Goals and priority initiatives to deliver administrative efficiency and value to the healthcare industry. Topics will include:
Presentation Resources
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CAQH CORE, together with Cleveland Clinic and PriorAuthNow (PAN), is pleased to share initial findings highlighting the impact of greater prior authorization (PA) automation and workflow integration leveraging standards and operating rules at Cleveland Clinic. The Cleveland Clinic will share how the implementation of an integrated PA solution is improving the ability of staff to conduct PAs and creating a more efficient process.
Presentation Resources
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Connectivity is essential for successful interoperability as it enables the transport of information to support data exchange. To address the industry’s need to align on a common set of communication protocols, CAQH CORE maintains a set of operating rules addressing connectivity and security of data exchange. CAQH CORE Participating Organizations are currently evaluating updates to the CAQH CORE Connectivity requirements to address existing and emerging standards and protocols to support the intersection of administrative and clinical data exchange.
Presentation Resources
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On June 23, CAQH CORE staff will host a panel discussion featuring CAQH CORE Board members centered on key industry topics, including value-based payments, interoperability, and COVID-19.

Speakers:

Dr. Sue Turney (MGMA) President and CEO, Marshfield Clinic Health System

Tim Kaja Chief Operating Officer of UnitedHealth Networks, UnitedHealthcare

Dr. Marilyn Heine (AMA) Clinical Assistant Professor of Medicine, Drexel University College of Medicine
Presentation Resources
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On May 20, CAQH staff will host a lunchtime panel discussion centered on key research topics, including the CAQH Index and the Prior Authorization Pilot & Measurement Initiative.

Panel highlights:

  • Discuss the upcoming 2020 Index data collection efforts and survey enhancements.
  • Learn about the Prior Authorization Pilot & Measurement Initiative to assess impact and close automation gaps in the prior authorization workflow.

Speakers:

  • Kristine Burnaska, CAQH Research and Measurement Director
  • Rachel Goldstein, CAQH CORE Senior Manager
Presentation Resources
Webinar
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The ASC X12N Health Care Services Review – Request for Review and Response (278) is a paired transaction set. This transaction set is also known informally by other names, such as Referral or Prior Authorization. The 278 is used throughout the healthcare marketplace by providers to electronically submit prior authorization and referral requests.
Presentation Resources
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Join the CAQH CORE team for an update of current and ongoing initiatives to deliver administrative efficiency and value to the healthcare industry. Topics will include:   
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Register for this webinar to understand how pursuing CORE Certification can ensure your alignment with the CAQH CORE Operating Rules, many of which are federally mandated. Highlights will include:

 
Presentation Resources
Webinar
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CAQH CORE will provide an update on its 2020 goals and its ongoing initiatives to deliver administrative efficiency and value to the healthcare industry. Topics will include:   
Presentation Resources - Coming Soon