Value-based Payment Initiative: Insights and Next Steps

Don’t miss out! CAQH CORE Value-based Payment (VBP) Advisory Group members will summarize insights gathered from this multi-stakeholder collaboration, which evaluated pain points caused by VBP across the traditional revenue cycle workflow and developed a list of opportunity areas for administrative simplification and clinical integration. Webinar attendees will also get an overview of an important contributor to the success of VBP implementation -- provider attribution.

Speaker: Troy Smith, Vice President, BCBSNC

CAQH CORE Value-based Payment Webinar Series: Overview of LAN Roadmap for Driving High Performance in Alternative Payment Models

REGISTER TODAY – Join this webinar to get an overview of the Roadmap for Driving High Performance in Alternative Payment Models, which was developed by the Health Care Payment Learning and Action Network (HCP LAN). This tool was designed to help healthcare stakeholders navigate alternative payment model (APM) implementations and contains the latest best practices and strategies for success. Webinar attendees will get critical insights to accelerate the shift towards an effective value-based payment system. 

Phase III Operating Rules - Streamlining Claims Payment Reconciliation

According to the CAQH Index Report, over 227 million electronic remittance advices (ERAs) were sent from health plans to providers in 2017. Providers rely on the ERA to understand why a claim was denied or adjusted and how, if possible, to recoup those dollars. However, if the codes used to convey a claim denial or adjustment on the ERA are unclear, both health plans and providers are subject to unnecessary administrative burdens through extraneous phone calls and redundant or ineffective claim resubmissions and appeals.

CMS, WEDI and CAQH CORE Webinar Series: Part 2- CMS Compliance Reviews

In the second webinar of a two-part summer collaboration between the Centers for Medicare and Medicaid Services (CMS), WEDI and CAQH CORE, the CMS Division of National Standards will provide an overview of the Compliance Review Program to ensure conformity among covered entities with HIPAA Administrative Simplification rules for electronic he

CMS, WEDI and CAQH CORE Webinar Series: Part 1 - CMS Complaint Management Reports

In the first webinar of a two-part summer collaboration between the Centers for Medicare and Medicaid Services (CMS), WEDI and CAQH CORE, the CMS Division of National Standardswill present on findings from its investigation of complaints received of non-compliance related to theAdministrative Simplification requirements in HIPAA. These requirements include standard transactions, operating rules, code sets and unique identifiers.

Webinar Highlights: