CORE Operating Rules

/CORE Operating Rules

Headline News in Healthcare is About Cost, Paperwork Reduction Rules Expected

This is a first step toward implementation of an Affordable Care Act provision that cuts red tape in the health care system. HHS estimates this will save $12 billion over ten years. Whether a patient is eligible for coverage The status of a health care claim submitted to a health insurer

Health Care Reform is a Journey Not an Event

The recent passage of national health care reform legislation is an important milestone in the process of moving toward providing millions of Americans with access to health insurance. However, significant steps must still be taken in order to achieve the goals established in the legislation. Specifically, greater clarification is needed to determine how reform will [...]

ICD-10 Implementation – CMS Says “All States at High Risk”

Today at the WEDI ICD-10 Forum in Fairfax Virginia, Robert L. Guenther, Technical Director for the U.S. Department of Health and Human Services at the Centers for Medicare and Medicaid Services concluded that "All States are at high risk" in terms of their ability to complete CMS requirements at a state level to implement ICD-10. The key issue will focus not on technical, IT oriented approaches but on leadership