Intro to Health Care Claims Transactions and Operating Rules
Join us for the first installment of an ongoing webinar series with the standard development organization, X12 and HHS-designated operating rule author, CAQH CORE.
Speakers
Diving Deeper: Eligibility & Benefit Transactions and Operating Rules
We’re picking up our high-level discussion around eligibility and benefits in part two of our exploration into X12 270/271 transaction and related CAQH CORE Operating Rules. Part two of our webinar series will cover:
- Understanding generic and explicit inquiries
- Support for procedure code in the 270/271 transactions
- Improving the use of AAA Error Codes
Speakers
CORE X12 EDUCATION SERIES
CAQH CORE Opt-In
CORE Fall Town Hall
Get an exclusive update on the latest CORE initiatives and priority topics, including:
- VBP and Health Care Claims Subgroup progress updates
- EFT/ERA Rule initiative status
- Operating rules recommended for federal mandate
NCVHS Rule Recommendations Roundup
Recently, NCVHS recommended a set of CORE Operating Rules to HHS for federal adoption. Join Bob Bowman and Erin Weber to learn more about these rules and the impact they will have on the healthcare industry.
During this webinar attendees will:
- Receive an overview of how operating rules can become federally mandated
- Gain a better understanding of the recommended rules
- Learn the benefits these rules bring to the industry
Message from Health Care Claims Subgroup Co-Chairs: Rule Development Update
As representatives of healthcare business services companies, provider organizations, health plans, and associations, we spend time optimizing data transmission workflows to improve healthcare administration in our day-to-day jobs. Within the health care claims processing landscape, efficiency remains a key challenge. Per the 2022 CAQH Index, over 9 billion claims transactions are sent electronically between providers and health plans each year— even a small change in automating the standards for claims transmission could result in $2.5 billion of savings annually.
The Basics of HIPAA Standards and Operating Rule Adoption
Join Beth Karpiak and Michael Cimmino of the National Standards Group at CMS and Erin Weber, Vice President of CORE for an overview of Administrative Simplification provisions under HIPAA.
National Committee on Vital and Health Statistics (NCVHS) Recommends HHS Adopt CAQH CORE Operating Rules
CAQH CORE today announced that the National Committee on Vital and Health Statistics (NCVHS) has recommended the adoption of CAQH CORE Operating Rules to the Secretary of Health and Human Services (HHS).