Data-driven insights to improve workers’ comp claims
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Discover how workers’ compensation data can provide valuable insights through advanced automation technology for improved results.
Detecting claim severity early can help you improve triage, contain costs, and enhance employee return-to-work timelines. Our solution leverages predictive analytics to accurately identify workers’ comp claim severity as early as day one.
Streamline claims processing and improve SIU referrals with powerful tools that leverage robust industry data and analytics to deliver critical insights early in the life of a claim.
(CMS) released an alert announcing that in January 2024 a new enhancement will be made to the MSPRP portalRead article
CMS has announced plans to require Section 111 RREs to report various data points related to WCMSA arrangementsRead article
In a new development, CMS has issued an update which corrects certain “technical errors” in the Section 111 final rule.Read article
CMS held a webinar to discuss its plans to require Section 111 (RREs) to report data points related to WCMSAsRead article
Workers’ comp fraud is one of the fastest-growing types of insurance fraud. Fight it with our extensive suite of claims fraud solutions that leverages robust data and innovative technology.
Data accuracy and timely reporting are critical to EDI compliance, but varying reporting requirements make compliance challenging. Our leading solutions help you save time and improve workers’ comp reporting accuracy and timeliness.
States seeking to initiate EDI reporting or transition to a new IAIABC release can get precise, cost-effective data intake for workers’ compensation claims and medical data through wcCapture™.
Learn how workers’ comp analytics helped improve EDI compliance at Liberty Mutual and for the Commonwealth of Virginia.
Whether you need to quickly and accurately identify and report Medicare recipients, dispute conditional payment liens, or allocate future medical costs, our solutions and services help you comply with CMS and avoid costly penalties by providing you with key information to:
Open claims costing your organization? Our team of medical and legal professionals can remove obstacles to closing claims with fast settlement approvals.
A cutting-edge that tool utilizes natural language processing (NLP) and offers options for identifying and extracting certain terms within unstructured medical records resulting in expedited file review at a far lower cost than manual review.
Improve settlement decisions and negotiation strategies with a claim-matching solution that analyzes a claim’s attributes against your company’s historical data and provides guidance on settlement amounts and likely length of time to settle.