Claims
Breaking down CMS’s plans to capture WCMSA data
CMS has announced plans to require Section 111 RREs to report various data points related to WCMSA arrangements
FROI/SROI and WCIO 2023 recap–breaking down key updates and getting ready for 2024
These new compliance updates and changes kept insurers busy and will have a significant impact for insurers going forward in the new year.
CMS to hold NGHP Section 111 penalties webinar
CMS will be holding a Section 111 civil money penalties (CMP) webinar for (NGHPs) on January 18, 2024 at 1:00 p.m. ET.
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.
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
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
Love Thy Frenemies: 3 Reasons an Interconnected Claims Network Benefits the Industry
Love Thy Frenemies: 3 Reasons an Interconnected Claims Network Benefits the Industry
Who Commits Insurance Fraud, part 3: "Which generation is most likely to commit fraud?
Verisk conducted a study with the Coalition Against Insurance Fraud on which generation is most likely to commit fraud.
Introducing Recovery Reversal: Your Key to Regaining Control Over Medicare Conditional Payments
Verisk developed a new solution - Recovery Reversal - to claw back the Medicare overpayment or offset.
Vermont Department of Labor delays mandatory start date of Release
Vermont EDI Claim Release 3.1 for (FROI) and (SROI) is now delaying its planned implementation of Release 3.1 for FROI/SROI reporting.
CMS to hold Section 111 Webinar on November 13th – CMS to discuss expansion of TPOC reporting to include WCMSA information
CMS’s webinar notice, this session will focus on the expansion of TPOC reporting to include workers’ compensation Medicare set-asides (WCMSA).
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.
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
OIRA issues new notice regarding Section 111 civil money penalties - notice addresses the proposed rule’s economic impact designation
As many will recall, earlier this year the (CMS) extended the timeline to release its Section 111 civil money penalties (CMP) “Final Rule” until February 18, 2024.
The “Protecting Our Courts from Foreign Manipulation Act of 2023” is introduced in Congress – proposal targets TPLF by foreign persons, foreign states, and foreign sovereign wealth funds
In an important development on the TPLF front, the Protecting Our Courts from Foreign Manipulation Act of 2023 has been introduced in the U.S Senate.