Navigation Links
CAQH Core Rules Final Component of HITSP Interoperability Standards Formally Recognized By HHS Sec. Leavitt
Date:2/11/2008

WASHINGTON, Feb. 11 /PRNewswire-USNewswire/ -- CAQH announced today that the eligibility data content section of its Committee on Operating Rules for Information Exchange (CORE) Phase I rules is a final component of the Healthcare Information Technology Standards Panel's (HITSP) first set of interoperability standards. These standards were formally recognized by Health and Human Services Secretary Mike Leavitt late last month.

This recognition means that those CORE rules, included in HITSP's Consumer Empowerment Interoperability Specifications, can be incorporated into federal agencies' healthcare programs. It also marks the start of a process through which the Certification Commission on Health Information Technology (CCHIT) can begin testing for CORE data content compliance in products it certifies. Inclusion of the CORE rules demonstrates the need for a national approach to clinical and administrative data integration, as well as HHS' intent to build upon existing market momentum to create such an approach.

"We are very pleased that the CORE Phase I rules were embraced by HITSP and recognized by Secretary Leavitt," said Robin J. Thomashauer, CAQH executive director. "This clearly shows that our industry can voluntarily make significant contributions to improving electronic healthcare data exchange at the federal level."

HITSP, a standards panel of the American National Standards Institute, was established to harmonize the hundreds of individual standards needed to create a nationwide health information network. The panel works with the Office of the National Coordinator for Health Information Technology to ensure seamless implementation of the interoperability specifications. HITSP is well underway in working on its second set of interoperability specifications and the full set of CORE Phase I rules are included in the draft Medications Management interoperability specification.

CAQH launched CORE to create an all-payer solution that gives providers access to insurance information before or at the time of service using the electronic system of their choice for any patient or health plan. The organization has brought together more than 100 industry stakeholders to collaborate on a set of uniform business rules to achieve that goal. Built upon national standards, such as HIPAA, CORE rules make electronic administrative data communications seamless, streamlined and predictable, regardless of the technology -- in many cases eliminating the need for time- consuming phone calls and paperwork.

CORE-participating stakeholders collectively cover more than 130 million lives or more than 75 percent of the commercially insured plus Medicare and state-based Medicaid beneficiaries.

To date, more than 25 leading national healthcare organizations and products have been certified by CAQH as operating in compliance with the CORE Phase I rules. Over 20 other healthcare associations, accrediting bodies, networks and businesses have endorsed the rules.

CORE's second set of rules builds on the CORE Phase I rules and adds others related to patient identifiers, patient accumulators, claims status and connectivity. Phase II also will require patient financial responsibility reporting for an increased number of service codes. CAQH expects to announce Phase II certifications beginning at the end of Q3 2008 and into 2009. CORE Phase III will focus on improving the electronic delivery of additional administrative transactions, such as prior authorization.

About CAQH

CAQH is a catalyst for industry collaboration on initiatives that simplify healthcare administration for health plans and providers, resulting in a better care experience for patients and caregivers. CAQH solutions help promote quality interactions between plans, providers, and other stakeholders, reduce costs and frustrations associated with healthcare administration, facilitate administrative healthcare information exchange and encourage administrative and clinical data integration. Visit http://www.caqh.org for more information.


'/>"/>
SOURCE CAQH
Copyright©2008 PR Newswire.
All rights reserved

Related medicine news :

1. FDA Proposes New Rules for Sunscreens
2. Texas Supreme Court Rules Against Medicare HMOs in Hospital Reimbursement Fight
3. Physician Skin Care Specialist Says Proposed New Rules for Sunscreen Products Will Better Protect the Public
4. First Circuit Court of Appeals Rules Against Philip Morris in Lights Class Action
5. Judge Rules That Florida Disease Management Program Serving 8,000 HIV/AIDS Patients Should Be Re-bid, Says AIDS Healthcare Foundation
6. New transfusion rules restrict donations from previously pregnant women
7. Revised California Stem Cell Research Rules Fail to Ensure Affordable Access to Cures, Consumers Warn
8. Draft Rules Wont Stop Insurers Illegal Cancellations of Health Policies
9. Experts Propose Rules to Rate Hospitals Safety
10. Rules on Patients Medical Data Hampering Research
11. Judge Rules Texas Mutual Insurance Co. Committed Litigation Fraud With Falsified Document, According to Doyle Raizner LLP
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... 2017 , ... Global Healthcare Management’s 4th Annual Kids Fun Run brought out ... free event, sponsored by Global Healthcare Management’s CEO, Jon Letko, is aimed at getting ... children of all ages; it is a non-competitive, non-timed event, which is all about ...
(Date:10/13/2017)... , ... October 13, 2017 , ... “America On The ... identity. “America On The Brink” is the creation of published author, William Nowers. ... great-grandchildren. As a WWII veteran, he spent thirty years in the Navy. ...
(Date:10/12/2017)... ... October 12, 2017 , ... IsoComforter, Inc. ( ... today the introduction of an innovative new design of the shoulder pad. The ... get maximum comfort while controlling your pain while using cold therapy. By utilizing ice ...
(Date:10/12/2017)... ... 2017 , ... HMP , a leader in healthcare events and education, today ... Digital Award for ‘Best B-to-B Healthcare Website.’ Winners were announced during the Eddie & ... award competition recognizes editorial and design excellence across a range of sectors. This year’s ...
(Date:10/12/2017)... , ... October 12, 2017 , ... ... $3,296 in property taxes a year. In some states—like New York, New Jersey, ... By contrast, many overseas retirement havens have extremely low property-tax rates, which contributes ...
Breaking Medicine News(10 mins):
(Date:9/22/2017)... -- As the latest Obamacare repeal effort moves is debated, ... and Lindsey Graham (R-SC) medical device market ... is in an odd place.  The industry wants repeal ... on medical device sales passed along with the Affordable ... visits and hospital customers with the funding to invest ...
(Date:9/18/2017)... , Pa. and KALAMAZOO, Mich. , Sept. ... Penn. , and OptiMed Specialty Pharmacy of ... partnership to offer a strategic hub service that expedites ... highly sought-after personal spirometer, Spiro PD 2.0, and wellness ... A spirometer is a medical device used to measure ...
(Date:9/12/2017)... Sept. 12, 2017  Consumer reviews on the independent review site ... the number one company for hearing aids, ranking it higher than ... brands. ... #1 by Consumers For Hearing Aids ... Hearing is an online store that provides high performance, state-of-the-art, German-engineered ...
Breaking Medicine Technology: