Past CAQH CORE Events

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Is your organization CORE-Certified? If so, it may be time for Recertification. CORE-certified entities are required to renew their CORE Certifications every three years on a rolling basis to demonstrate ongoing conformance with operating rules. Recertification supports new market needs, evolving technology, mergers/acquisitions, and system upgrades. Join the CAQH CORE team on the 16th to learn more about:
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Join us to review the new and updated operating rule package proposed for federal mandate. The National Committee on Vital and Health Statistics (NCVHS) requested industry feedback via a Request for Comment due December 15th, 2022. Join the CAQH CORE team to learn more about the proposed rule package and the federal review process.
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Join CAQH CORE and X12 on December 1st for our second joint webinar covering the 270/271 transaction, standard, and operating rules series. The 270 transaction set is used throughout the healthcare marketplace to transmit healthcare eligibility and benefit inquiries from health care providers, insurers, clearinghouses and other healthcare adjudication processors. Meanwhile, the 271 transaction set is the appropriate response mechanism for healthcare eligibility and benefit inquiries.
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CAQH CORE Participants are invited to join the CAQH CORE leadership for a discussion on 2023 goals and priority initiatives. Topics covered will include:   
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On November 3, CAQH CORE staff will host a conversation with revenue cycle expert and CAQH Board Member, Margaret Schuler, about her experience leading interoperability and revenue cycle initiatives and the value of standardization and automation. Margaret will provide insights from across the medical and dental industries and discuss why she believes operating rules are a critical tool for streamlining data exchange.
Resources
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Join CAQH CORE for an update on continued efforts to support industry implementation of price transparency regulations, including the Good Faith Estimate (GFE) requirements in the No Surprises Act. The GFE requirement under the No Surprises Act aims to give patients and consumers a clear sense of what upcoming health care services will cost, however has presented various operational challenges and ambiguity for stakeholders.
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:   
Presentation Resources
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The Health Care Eligibility Benefit Inquiry and Response and the associated X12 Technical Report Type 3 Implementation Guides provide the HIPAA-adopted standards for healthcare eligibility and benefit inquiries. These guides provide standardized data content for creation and use of the v5010 270/271 transaction. The 270 transaction set is used throughout the healthcare marketplace to transmit healthcare eligibility and benefit inquiries from health care providers, insurers, clearinghouses and other healthcare adjudication processors.
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Join CAQH CORE for an update on continued efforts to support industry implementation of price transparency regulations, including the Advanced Explanation of Benefits (EOB) requirements in the No Surprises Act (NSA). In May, CAQH CORE convened an industry Focus Group to discuss preparations to meet these NSA requirements.
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Join CAQH CORE and Nacha for a webinar to learn about how electronic payments improve the dental practice revenue cycle. Hear from Dr. Hope Watson, DMD, who will discuss how accepting EFT claim payments has benefited Watson Family Dentistry. This webinar will also address common EFT misconceptions and highlight how providers can reap rewards when working with dental plans and vendors who have adopted EFT standards and their supporting operating rules help to streamline payments.

Join us June 8 to improve your practice’s financials!

Featured Speakers: