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ISO Claims Partners

June 12, 2020

CMS releases Section 111 alert regarding the reporting of no-fault insurance and med-pay policy limits on claim input files

CMS issued a new Section 111 alert on the reporting of personal injury protection, and Med-Pay policy limits on non-group health plan claim input files in situations…

June 3, 2020

CMS to enhance its MSPRP to allow authorized users to view and print conditional payment correspondence

Starting July 13, 2020, authorized MSPRP users will be allowed to view and print CMS conditional payment correspondence.

May 28, 2020

COVID-19 and workers’ comp: Managing rising claim volume and costs

With thousands of essential employees reporting to work—including health care workers—there could be an influx of workers’ comp claims related to the virus.

May 15, 2020

CMS releases new WCMSA reference guide (Version 3.1)

The Centers for Medicare and Medicaid Services (CMS) has just released its latest version of the WCMSA reference guide version 3.1 (May 11, 2020).

May 11, 2020

Court dismisses law firm’s attempt to interplead HHS to resolve Medicare’s conditional payment claim

The United States District Court for the Western District of Missouri in Fowler Pickert LLC v. Glasgow, et. al., 2020 WL 1955266 (W.D. Missouri, April 23, 2020) had to…

May 6, 2020

COVID-19 – State by state legislative and regulatory resources

Many insurers are concerned with how COVID-19 related legislative and regulatory changes could impact exposure and liability going forward.

May 1, 2020

Court finds state of Rhode Island compliant with Section 111 despite its inability to obtain social security information to determine Medicare status and enforces settlement

The U.S. District Court in Ruiz v. Rhode Island was called upon to address whether a personal injury settlement should be enforced even though the defendant was unable to…

April 21, 2020

CMS’s Section 111 civil money penalties comment period closes

With the comment period closed, the focus now turns to when CMS will issue its Final Rule, which will comprise of the agency’s official CMP regulations. 

April 9, 2020

Medicare enables COVID-19 ICD-10 code for Section 111 reporting

The CDC issued a bulletin advising it is implementing the new ICD-10 U07.1 for “COVID-19, virus identified” in an off-cycle update effective 4/1/20, to code the COVID-19…

April 6, 2020

COVID-19 – ISO Claims Partners keeping you updated

As the industry (and nation) continue to deal with the challenges of the current health crisis, ISO Claims Partners wanted to provide you with some resources which you…

March 30, 2020

Settling claims in unsettling times

In a time of social distancing and uncertainty, many are left wondering how our current working and social paradigm will impact workers’ compensation claims handling –…

March 30, 2020

Social Security Administration suspends processing of third-party requests to determine SSDI status

As of 3/17/20, all the Social Security Administration field offices have been closed to the public in response to the growing COVID-19 pandemic according to its website.…

March 23, 2020

Starting April 25, 2020, CMS will use the 2017 CDC life table for WCMSAs

In an alert dated 3/17/20, CMS announced beginning 4/25/20, it will use the new 2017 CDC life table to calculate adjusted life expectancies in Workers’ Compensation…

March 6, 2020

CMS releases town hall question/answer document

The Centers for Medicare and Medicaid Services (CMS) has released a question/answer document in follow up to its January 14, 2010 town hall call.

February 27, 2020

The Eleventh Circuit rules that the MSP’s three-year “claims-filing” statute is not a prerequisite for filing a private cause of action recovery claim

In reversing a lower court decision, the U.S. Circuit Court of Appeals (Eleventh Circuit) in MSPA Claims 1, LLC v. Kingsway Amigo Insurance ruled compliance with the…