With the CAQH
providing CORE's infrastructure, including "more than seven full-time people who are solely devoted to moving the CORE initiative forward," and covering "over 85% of all CORE expenses," by 2010 CORE had become "the only national effort solely engaged in the development of operating rules for the facilitation of administrative healthcare transactions" (CAQH
The CORE Seal was awarded after Availity successfully completed voluntary CORE Certification testing well ahead of the January 1, 2016, certification deadline, ensuring it can exchange healthcare Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) information in conformance with the Phase III CAQH
CORE EFT & ERA Operating Rules and Policies.
sends providers an e-mail every 3 months to remind them to update their credentialing data.
initiative is eliminating $33 million a year, or 1.
Antibiotic resistance is a much more significant problem than most persons realize," asserts Gordon Grundy, CAQH
-- a nonprofit health care administrative simplification group -- has launched a new program.
Automated systems to verify patient insurance eligibility and benefits information could significantly reduce administrative costs for both, according to a recent survey of health insurance plans and providers conducted by CAQH
and supported by the California HealthCare Foundation (CHCF).
The adoption of the CORE rules by insurers and other health care organizations means that physicians will be able to submit an electronic request to a participating health plan and get a response in 20 seconds or less, according to CAQH
While a good PM system has tools to facilitate this process, CAQH
CORE Rules Phase II requires that common tracking numbers are used on both the EFT and ERA transactions.
HHS has not adopted a CAQH
proposal regarding health care claim payment batch acknowledgement requirements.
Managed-care organizations and some health systems have utilized the CAQH
uniform application, which may decrease the need to directly collect information from providers.
Health IT Certification provides professional training and certification for those responsible for planning, selecting, implementing, and managing electronic health records (EHR), other health information technology (HIT) and those engaged in the creation and management of Health Information Exchanges (HIEs), and those responsible for the technical and business operations implementation of the Affordable Care Act Operating Rules and implementation of CAQH
CORE Operating Rules and Certification involving operating rules administration (ORA).