Medicare

Arizona Tweaks its "Full & Final" Workers' Comp Settlement Law - New Law Provides Opportunities to Settle Workers' Comp Claims

On October 31, 2017, Arizona Senate Bill (S.B.) 1332 became law allowing Arizona claims payers to reach “full and final” settlements of certain workers’ compensation (WC) claims. This new law provides Arizona insurers...

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...

ISO Claims Partners Sponsors 2016 CLM Southeast Conference

To support industry educational initiatives, ISO Claims Partners will sponsor the 2016 CLM (Claims and Litigation Management Alliance) Southeast Conference , which will be held in Tampa, Florida, February 4–5. CLM...

ISO Claims Partners Sponsors 2015 CLM New York

ISO Claims Partners avidly supports the sharing of insights about the complex challenges and issues of managing claims and litigation surrounding Medicare compliance. As part of our ongoing involvement with industry...

Deep Dive: Clinical Trials and Section 111 Reporting

ISO Claims Partners is dedicated to demystifying Section 111. Today I’d like to take a deep dive into one reporting trigger of Ongoing Responsibility for Medicals (ORM) by exploring clinical trials. Created by CMS...

Medicare Conditional Payment Compliance: Myth vs. Fact

The statutes and regulations that govern Medicare have been referred to by courts as “ the most completely impenetrable texts within human experience .” With the complex nature of Medicare compliance comes the resulti...

A Recipe for Confusion: Medicare Conditional Payment Compliance in Asbestos-Related Workers' Compensation Claims

Medicare conditional payment compliance is difficult enough. When you add complex asbestos-related workers' compensation claims to the mix, it can create a recipe for confusion for insurance carriers, self-insureds, a...

Is Cost-Shifting to P&C Payers on the Horizon?

There are numerous provisions of the Affordable Care Act (ACA), aimed at reducing the cost of America’s healthcare. According to Healthcare Finance News , the cost-saving strategies include specific reductions in...

ICD-10 Codes Adoption

On April 1, 2014, President Obama signed the Protecting Access to Medicare Act of 2014 (PAMA) (Pub. L. No. 113-93). The act stated that International Classification of Diseases-10 (ICD-10) adoption would not occur...

2012 ISO ClaimSearch Review: Claims Compliance

In 2012, ISO ClaimSearch continued to provide insurers with a number of integrated compliance solutions. Here are some of last year’s accomplishments: We operated the ISO ClaimSearch Medicare Secondary Payer Reporting...