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There are a lot of misconceptions among medical providers as to what exactly CAQH is and what it will do for a provider. CAQH stands for The Council for Affordable Quality Healthcare and is a nonprofit alliance of health plans and trade associations, working to simplify healthcare administration through industry collaboration on public-private initiatives. CAQH aims to reduce the administrative burden for providers and health plans.
This all sounds good, but what does it actually do and how does it reduce this burden? Well anyone who has done credentialing in any form for a provider knows that the credentialing process is not easy. Each insurance carrier has their own forms and their own process that a provider must follow to join the network for that carrier. During this webinar, participants will learn how to identify and comply with all the implemented CAQH updates to avoid negative revenue impacts; and also know how to reduce payer claims holds and rejections due to inaccurate profile details.