CAQH CORE has continued to work and educate industry leaders on the importance of improving the prior authorization process. At the end of September, the Prior Authorization Subgroup completed the development of draft operating rules, which will now go through the Formal Voting Process.
Do you want to learn how to create a more efficient payment and remittance advice process at your organization? One sure way to save time and money is through efficient use of the Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) transactions and the Phase III CAQH CORE Operating Rules. On this webinar, hear from speakers who are successfully using these transactions and operating rules to streamline healthcare payments.
CAQH CORE Town Hall webinars provide the public with an update on CORE's recent activities related to industry development and/or implementation of healthcare operating rules. Learn about federally mandated and voluntary CAQH CORE Operating Rules, voluntary CORE Certification, and much more.
The webinar will provide a series of presentations of industry activities to respond to the challenges of the inefficient prior authorization process, specifically the Consensus Statement on Improving Prior Authorization and related initiatives, WEDI PA efforts and CAQH CORE operating rule development.
REGISTER TODAY – Quality measurement is central to the design and implementation of value-based payment models. Quality measures help assess the performance of the healthcare system and they form the basis of performance targets to which payments are tied. Data on quality measures are collected or reported in a variety of ways, including: claims, assessment instruments, medical records and registries. Learn how the industry is defining quality measures and setting up payment systems based on them through real world adoption examples from an industry leading expert.
An interoperable health IT infrastructure is a critical component of health care transformation. The Office of the National Coordinator for Health Information Technology (ONC) is committed to working with implementers to use health IT and data to achieve successful value-based payment (VBP).
Interoperability challenges are a pressing problem across healthcare. For those implementing value-based payment models, they are greatly magnified. The Centers for Medicare and Medicaid Services (CMS) is working to ensure the appropriate technology and regulatory structure exists to support value-based care.
The U.S. healthcare economy is undergoing a transformation in how care is measured, billed and paid. Organizations around the country are shifting away from fee-for-service models that reimburse providers for the volume of care, and experimenting with value-based payment models, which align quality of care and cost controls with provider compensation. As value-based payment innovation continues, there are many threats to its progress, such as operational challenges.