Navigating the Future: A CORE Town Hall on Operating Rules

In this webinar, you will:

  • Dive into a discussion about CORE Operating Rules recommended for federal mandate.
  • Receive insights into the latest operating rules and explore how they impact the industry and overall compliance.
  • Get an exclusive peek into the CORE initiatives planned for 2024 and how they contribute to shaping the future landscape of operating rules.

Speakers

      Pete Benziger, Sr. Manager, CAQH

Full CORE Voting Membership: Draft Operating Rules

Full CORE Voting Membership: Draft Operating Rules

Overview:

The draft VBP, Health Care Claim, and EFT/ERA Enrollment Data rules were approved by the CORE Review Work Group (RWG) to move to the Full CORE Voting Membership vote. Full CORE Voting Members have the opportunity to submit a ballot in the Full CORE Voting Membership vote for the final approval of DRAFT new and updated Value-based Payment (VBP) Operating Rules, new Health Care Claim Operating Rules, and updated EFT & ERA Enrollment Data Rules. Links to each of the draft rules can be found below:

HHS Recommends CAQH CORE Operating Rules for federal adoption.

What comes next?

 

Since its formation, the Committee on Operating Rules for Information Exchange (CORE) has developed eight sets of operating rules to streamline transactions and remove cost and complexity from the healthcare ecosystem. Four of these rule sets — which address eligibility and benefits; claim status; payment and remittance; and connectivity requirements — have been federally mandated. 

A Physician’s Perspective on the Value of Operating Rules

 

For more than 20 years, CAQH CORE Operating rules have played a critical role in streamlining the business of healthcare for stakeholders across the industry–including health plans, government entities, trade associations and vendors.  

Join us for a discussion with Dr. Marilyn Heine, MD, as we take a closer look into the value these operating rules can create for providers.

CORE Town Hall

Healthcare Automation & Policy

Join industry leaders for an engaging discussion about CAQH CORE’s efforts to accelerate interoperability in healthcare.

In this virtual town hall, attendees will:

  • Learn how CORE initiatives impacted the industry in 2023 
  • Review the organization’s priorities for next year
  • Receive the latest updates on federal policy and NCVHS recommendation
  • Examine critical factors driving CORE Operating Rule development