Compliance

10/11/2023 - 24 min read

CMS’s Section 111 Penalties “Final Rule” Released – Breaking Down CMS’s Penalty Provisions and How They Impact Section 111 Reporting

In an important development, CMS has released its Section 111 penalties “Final Rule” --- CMS penalties will go live in 60 days.

10/10/2023 - 2 min read

An Award-Winning Effort Breaks New Ground in Medical Record Review

Verisk leaders earn Technology Innovation honoree status in the 2023 PC360 Insurance Luminary program for their work on Discovery Navigator

8/30/2023 - 1 min read

Verisk Casualty Solutions attends 77th Annual WCI Conference in Orlando, Florida!

Last week Verisk Casualty Solutions proudly attended the 77th Annual Workers' Compensation Educational Conference and 34th Safety & Health Conference in Orlando, FL!

8/7/2023 - 12 min read

The United States District Court for Connecticut dismisses a Medicare Advantage claim for “double damages” – rules that insurer’s Section 111 reporting not sufficient to establish standing

Interesting new Medicare Advantage recovery case, the United States District Court for Connecticut in MSP Recovery Claims, Series LLC v. Travelers Indemnity Company

3/28/2023 - 1 min read

Aligning a small commercial insurance book with reality—and strategy

A portfolio analysis can uncover new risks, reveal opportunities to true up coverages, and show where rate increases may be warranted

3/24/2023 - 3 min read

Retain talent and avoid the “brain drain” with ISO Education

ISO Education is a resource for insurers training new hires, cross-training existing employees, or helping employees develop their careers

3/17/2023 - 4 min read

How MGAs and insurers can turn data liabilities into data assets

Organize and enhance data collection and management practices to enable competitive positioning and business differentiation.

3/16/2023 - 3 min read

Introducing Verisk’s insurance coverage and regulatory legal team

This spring, we’re welcoming Verisk’s legal team into a public conversation with our customers.

1/11/2023 - 22 min read

Understanding Medicare Treasury claims – avoiding the pitfalls and steps for success

In this article, the author provides a general overview of Treasury collection actions in relation to CMS’s non-group health plan recovery process.

11/9/2022 - 14 min read

Back to the drawing board: CMS’s future medicals proposals are withdrawn – where does this leave LMSAs?

As reported in our October update, the Centers for Medicare and Medicaid Services’ (CMS’s) future medicals proposals have been withdrawn.

11/2/2022 - 2 min read

Clear away obstacles to fast, profitable small commercial underwriting

Prefill application details, amplified with analytics, can fuel small commercial underwriting automation by tapping unstructured data

10/26/2022 - 3 min read

Protecting intellectual capital in the age of talent turnover

There are technology solutions that can mitigate intellectual capital risk for insurers. Just look for these features.

10/21/2022 - 3 min read

Reimagine small commercial underwriting with better, broader data

Automated underwriting requires high-quality data. The quote must be informed by a holistic view of the applicant’s risk profile.

10/4/2022 - 7 min read

CMS releases Section 111 NGHP User Guide (Version 6.9) – updates relate to Section 111 excluded/valid diagnosis codes for 2023, SP31 error, and other items

6/7/2022 - 3 min read

Mozart’s new features make finding & updating forms easier than ever

With concept search, preferred wordings, and workflow enhancements, Mozart helps to easily find & update forms.