ISO Claims Partners
CMS releases Section 111 NGHP 270/271 Companion Guide (Version 5.6) - new release makes technical corrections to Version 5.5 update
The Centers for Medicare and Medicaid Services (CMS) has released an updated Section 111 NGHP 270/271 Companion Guide (Version 5.6, July 22, 2021).
Implementing Insurance Legal Analytics to Drive Results and Reduce Spend
Implementing Insurance Legal Analytics to Drive Results and Reduce Spend
Curbing social inflation with litigation technology
A wave of social inflation is severely impacting the bottom line for insurers.
CMS discusses PAID Act implementation plans and timelines on webinar
On June 23rd, CMS held a webinar to discuss its plans to implement the PAID Act for non-group health plan (NGHP) responsible reporting entities (RREs).
LMSA update: CMS’s “future medicals” proposals now scheduled for release in October 2021
CMS’s long-anticipated release of its “future medicals” notice of proposed rule making (NPRM) is now scheduled for October 2021.
CMS releases its PAID Act implementation plans – what’s next and how we can help
The following provides a general overview of the PAID Act, CMS’s implementation plans, and related considerations as follows.
New NGHP Section 111 User Guide (6.4) – PAID Act, ORM termination, and other updates
The Centers for Medicare and Medicaid Services (CMS) has released an updated Section 111 NGHP User Guide (Version 6.4, June 11, 2021) regarding non-group health plans.
Litigation technology poised to enhance insurers’ case results
Many claims teams lack visibility into where the claim is at once it hits the litigation phase.
CMS to hold PAID Act webinar on June 23rd
The Centers for Medicare and Medicaid Services (CMS) has announced that it will be holding a webinar on June 23, 2021 at 1:00 p.m. (ET) regarding the Provide Accurate…
CMS updates Chapter 7 of the Medicare secondary payer (MSP) recovery manual
The Centers for Medicare and Medicaid Services (CMS) has released an update to Chapter 7 of its Medicare secondary payer (MSP) recovery manual.
CMS releases new WCMSA Reference Guide (Version 3.3)
The Centers for Medicare and Medicaid Services (CMS) has just released their latest version of the WCMSA Reference Guide (Version 3.3, April 19, 2021).
COVID-19 and Workers’ Compensation Revisited: Navigating the pandemic to understand what’s next
Last year we discussed ways the pandemic could impact workers’ compensation claims. Now, nearly a year later, we reflect on some of the answers to those questions.
Post-Settlement Administration: What’s next after getting an MSA?
When a claim settles, many claimants find themselves with a large sum of money that they are required to manage on their own.
CMS releases updated Section 111 Model Language document
The Centers for Medicare and Medicaid Services has released an updated Section 111 Model Language document dated March 10, 2021 (PDF version).
CMS’s Section 111 penalty proposals – current status and FAQs
There remains much anticipation regarding the current state of the Centers for Medicare and Medicaid Services’ (CMS’s) Section 111 civil money penalties proposals.