Compliance Solutions
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CMS corrects minor “technical errors” in the Section 111 penalties
In a new development, CMS has issued an update which corrects certain “technical errors” in the Section 111 final rule.
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CMS discusses plans to capture WCMSA data points as part of TPOC reporting during recent Section 111 webinar
CMS held a webinar to discuss its plans to require Section 111 (RREs) to report data points related to WCMSAs
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CMS releases new Section 111 penalties FAQ resource
CMS has now released a new Alert entitled CMS’s Medicare Secondary Payer and Certain Civil Money Penalties: Frequently Asked Questions
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Love Thy Frenemies: 3 Reasons an Interconnected Claims Network Benefits the Industry
Love Thy Frenemies: 3 Reasons an Interconnected Claims Network Benefits the Industry
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Satisfy requirements, avoid penalties
Satisfy requirements, avoid penalties
Identify and report Medicare recipients in your claims quickly and easily and address Section 111 reporting requirements with our Medicare Secondary Payer solutions.
Mitigate risk, help prevent overpayment
Mitigate risk, help prevent overpayment
Getting hit with costly Medicare conditional payment liens or Medicare recovery claims? Our expert services can help reduce payments by challenging unwarranted Medicare demands.
- Helps prevent overpayment of conditional payment liens
- Reduces risk of Treasury collections
Strategies to reduce costs, optimize settlements
Strategies to reduce costs, optimize settlements
Medicare future medical allocations compliance for injury claims can be extremely complex. Our team of experts makes it easy. Get strategies to reduce costs, optimize settlements, and achieve compliance.
- Support from a large team of experts dedicated to CMS compliance
- Expert analysis from nurse practitioners that develop future medical claims costs
Streamline workers’ compensation reporting
Accurate, on-time compliance reporting
Accurate, on-time compliance reporting
Save time and help improve workers’ comp policy and claims reporting accuracy and timeliness with leading solutions that help simplify data reporting.
- Get automated required report outputs, including FROI/SROI, Unit Stat, DCI, policy, medical, indemnity data calls
- Manage Release 3.1 requirements and the NCCI indemnity call
States: Collect data more efficiently
States: Collect data more efficiently
We provide precise, cost-effective data intake for workers’ comp claims and medical data for states seeking to initiate EDI reporting or transition to a new IAIABC release.
- Helps collect FROI and SROI from insurers with greater efficiency
- Gathers medical data needed to help set fee schedules, identify fraud, and implement cost containment strategies
Fulfill claims compliance in your workflow
Fulfill claims compliance in your workflow
Respond to a range of compliance and reporting requirements through our solutions. When authorized, we report your claims to regulatory agencies on your behalf and automatically check your claims against federal and state databases and criminal watch lists. Our solutions include:
- Child support intercept matching
- MRN reporting
- Property claims reporting
- Auto claims reporting
- Casualty reporting
- Questionable claims reporting
- OFAC screening