|
|
||||||
Provider Education Session with CMS OESS and CAQH CORE: Learn about the Healthcare Operating Rules Federal Mandate
Centers for Medicare & Medicaid Services (CMS) sent this bulletin at 03/19/2013 07:47 AM EDT |
|
The Centers for Medicare & Medicaid Services (CMS) is pleased to announce that CAQH CORE is hosting an educational session on the Affordable Care Act (ACA) Section 1104. Section 1104 of the Patient Protection and Affordable Care Act (ACA) mandates that all Health Insurance Portability and Accountability Act (HIPAA) covered entities comply with healthcare operating rules.
The roles and responsibilities of these HIPAA covered entities vary based upon organization type. In an effort to educate and guide providers toward compliance, this session has been designed to specifically meet the needs of those providers, provider groups and delivery systems that are beginning or in the process of implementing mandated operating rules with their trading partners.
Provider and Delivery Systems:The Fundamentals of Healthcare Operating RulesUnderstanding the ACA Mandate and its Impact on Providers
CAQH CORE and CMS OESS Joint Education SessionWednesday, March 20, 20132:00 PM - 3:00 PM ET
Register NowThere is no fee to attend.
AGENDA:
• Federal compliance requires the adoption of operating rules for three administrative transaction sets in accordance with the following timeline: o January 1, 2013: Eligibility and Claim Status. o January 1, 2014: Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA). o January 1, 2016: Five more transactions including referral/authorization and health claims/encounter information. • Providers are required to conform to these operating rules when conducting electronic transactions. • Many providers rely on their vendors to meet their obligations under HIPAA. • Health Plans are already returning more robust eligibility and benefits information within 20 seconds to those providers that are capable of requesting and receiving it electronically. Why you should attend:• Gain a basic understanding of the ACA timeline, key requirements and implementation resources. • Learn how providers improve ROI when working with trading partners to implement operating rules. • Ask compliance and interpretation questions directly of CMS OESS. • Ask CAQH CORE subject matter experts operating rule requirement questions.
Guest Panelist:
Matt Albright, Lead Health Insurance Specialist CMS's Office of E-Health Standards and Services (OESS)
About OESS
CMS' Office of E-Health Standards and Services is the U.S. Department of Health and Human Services' (HHS) component that enforces compliance with HIPAA transaction and code set standards.
About CAQH CORECAQH CORE is a national multi-stakeholder initiative. It has been designated by HHS as the authoring entity for the mandated Eligibility for a Health Plan and Healthcare Claim Status Operating Rules and the second set of mandated operating rules for Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) transactions. To learn more about CAQH CORE, visit www.caqh.org. |
|
| Centers for Medicare & Medicaid Services (CMS) has sent this Administrative Simplification Update. To contact Centers for Medicare & Medicaid Services (CMS) go to our contact us page. |