ISO Claims Partners

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...

Litigation insights offer the key to rising claim costs

Insurers are constantly seeking ways to enhance efficiency and contain costs in claims operations. Sure, technology has helped streamline processes and reduce some expenses, but many carriers still struggle to manage...

Successful workers’ comp analytics starts with the right plan

For years, we’ve been hearing about the impending talent crisis in the insurance industry. Statistics indicate that a significant number of experienced insurance professionals are nearing retirement, and with industry...

All-or-Nothing Automation? Incremental Change Is a Winning Proposition

Until recent years, implementing automation improvements in insurance processes seemed a futuristic dream available only to carriers with the biggest IT and R&D budgets. Today, thanks to economies of scale brought to...

Liability Medicare Set Asides – Bracing for the Storm

For years, the Liability Medicare Set-Aside (LMSA) issue has been the source of much debate and frustration for liability claims payers. To date, there remain lingering questions on several fronts and the Centers for...

CMS holds webinar on WCMSA Electronic Attestations for Professional Administration

On November 6 th , the Centers for Medicare and Medicaid Services (CMS) held an informational webinar entitled  Workers’ Compensation Medicare Set-Aside (WCMSA) Electronic Attestation Enhancement for Professional...

CMS holds webinar on WCMSA Electronic Attestations for Self-Administered Accounts

On October 30 th , the Centers for Medicare and Medicaid Services (CMS) held an informational webinar entitled WCMSA Electronic Attestation Enhancement Webinar .  CMS hosted this webinar to discuss recent enhancements...

CMS releases new WCMSA Reference Guide (Version 3.0)

The Centers for Medicare and Medicaid Services (CMS) has released a revised Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 3.0, October 10, 2019) . This guide replaces Version 2.9 of the gui...

CMS releases new NGHP Section 111 User Guide (Version 5.7)

The Centers for Medicare and Medicaid Services (CMS) has released an updated  Section 111 User Guide (Version 5.7, October 7, 2019)   regarding non-group health plans (liability, no-fault and workers’ compensation)....