The Medicare Group Management Association is asking federal officials to name the Committee on Operating Rules for Information Exchange (CORE) initiative of CAQH, an alliance of industry stakeholders, as the authoring entity for operating rules that make the HIPAA transactions more uniform.
The Affordable Care Act mandates adoption of a series of operating rules between 2013 and 2016. CORE has spent several years working on rules specified in the reform law, and which currently are being voluntarily adopted. The National Council for Prescription Drug Programs, in consultation with CORE, has been developing separate operating rules for pharmacy transactions.
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