Compliance

Illinois court dismisses Medicare Advantage Plan suit for “double damages” on standing grounds

In MAO-MSO Recovery II, LLC v. State Farm , 2019 WL 6311987 (C.D. Ill. Nov. 25, 2019), [1] the United States District Court for the Central District of Illinois found that an assignee of a Medicare Advantage Plan (MAP...

Release of CMS’s Section 111 penalty proposals delayed again – pushed back to December

The Office of Information and Regulatory Affairs (OIRA) has issued an updated notice indicating that the Centers for Medicare and Medicaid Services’ (CMS) expected release of its Notice of Proposed Rulemaking (NPRM)...

CMS’s new Section 111 Alert addresses MBI reporting

The Centers for Medicare and Medicaid Services (CMS) has issued an updated Section 111 Alert pertaining to non-group health claims (NGHP) regarding the Medicare Beneficiary Identifier (MBI) reporting.    Through CMS’s...

Law Firm Reaches Settlement with U.S. Department of Justice to Reimburse Medicare Conditional Payments and Start Internal MSP Compliance Program

The United States Department of Justice (DOJ) for the Eastern District of Pennsylvania has issued a news release reporting that a Philadelphia personal injury law firm has agreed to pay the government $28,000.00 to...

ISO ClaimSearch Will Partially Mask PII to SIU-level Users in Claims Inquiry

While data risk mitigation issues continue to emerge in our industry, ISO ClaimSearch is always working to maintain the privacy and security of claims data. So to safeguard personally identifiable information (PII), I...

Medicare Part D - The Next Recovery Frontier?

Medicare Secondary Payer (MSP) compliance has historically focused on the interests of traditional Medicare (that is, Medicare Parts A and B). In the wake of the recent In Re Avandia decision out of the United States...

Georgia fire marshal urges insurers to comply with data requests for quarterly report

Georgia Code § 25-2-32(a) requires: “…The various fire insurance companies doing business in this state shall submit to the Commissioner, quarterly, a report stating all the losses sustained by them, together with suc...

ISO Claims Partners Sponsors 2016 CLM Midwest Conference

In our continued efforts to support industry educational initiatives, ISO Claims Partners is pleased to sponsor the 2016 Claims and Litigation Management (CLM) Alliance Midwest Conference , to be held at the Hilton...

Insurers receive hardship exemption for Texas child support legislation

In December 2013, Texas amended Child Support Enforcement regulation 1 TAC 55.601 to include first and third-party property claims reporting. Due to significant implementation problems expressed by the industry, the...

ISO ClaimSearch® satisfies fire loss reporting requirements in Tennessee

Recently, ISO ClaimSearch ® received confirmation from the Tennessee Deputy Commissioner for Fire Prevention that ISO ClaimSearch satisfies the fire loss reporting requirement for insurance companies in the state of...