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Blog Teaser3
January 20, 2022

U.S. Supreme Court hears oral arguments on Medicaid reimbursement case – Court’s forthcoming decision will revisit Medicaid’s recovery rights

On January 10, 2022, the United States Supreme Court heard oral argument in the case Gallardo by and through Vassallo v. Marstiller (No. 20-1263).

Visualize Space Anti Fraud Tech Meet 738x415
January 18, 2022

Taking flight: Exploring anti-fraud technology with better pilots

Digital adoption and automation have rapidly accelerated the past two years, and fraud management needs to keep pace.

Blog Teaser2
January 13, 2022

New Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 3.5) takes aim at non-submit and EBMSAs

Centers for Medicare and Medicaid Services (CMS) has released an updated Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 3.5, January 10, 2022).

Imagemjeh
December 22, 2021

CMS releases new Section 111 NGHP User Guide (Version 6.6)

CMS releases new Section 111 NGHP User Guide (Version 6.6) and an updated Section 111 NGHP 270/271 Companion Guide (Version 5.8)

Blog Teaser
December 16, 2021

CMS retains its $750 “Low Dollar” threshold for 2022

The Centers for Medicare and Medicaid Services (CMS) has released its 2022 low dollar reporting and recovery threshold via a new alert.

Enhancing Customer Experience
December 14, 2021

Enhancing Customer Experience and Innovating for the Future as Verisk

Insurance industry advances towards digital transformation of enterprise-wide processes and systems, the need for trusted partners in this journey has never been greater

Blog Teaser 4
December 13, 2021

LMSA update: CMS’s “future medicals” proposals now scheduled for release in February 2022

A Fall 2021 notice indicating that CMS’s long-anticipated release of its “future medicals” notice of proposed rulemaking (NPRM) is now scheduled for February 2022.

Uncovering Digital Media Fraud Image
December 13, 2021

Uncovering digital media fraud with advanced forensics

Straight-through processing is considered the holy grail of digital claims—where insurers can intake, process, and pay claims automatically

Blog Teaser 2
December 13, 2021

The PAID Act is now live – a new era of MSP compliance starts

Lights, camera, action! The Provide Accurate Information Directly (PAID) Act became effective as of December 11, 2021 and is now live!  

2022 Economic Shifts For Homeowner Insurers
December 9, 2021

Economic shifts shape the unfolding journey for homeowners insurers

Supply-chain issues, labor shortages, and high demand for building resources are complicating factors as homeowners insurers head into 2022.

Courtside
November 30, 2021

Analytics can help you navigate an ever-changing legal landscape

It is imperative for insurance companies to keep track of court decisions that may affect them in an ever-changing legal landscape.

Lienholder Clauses
November 29, 2021

Solving the puzzle of lienholder clauses

For insurers, validating correct lienholder information on loss payable and mortgagee clauses can be a long and cumbersome process.

Blog Teaser
November 23, 2021

CMS adjusts the maximum Section 111 reporting civil money penalties amount for inflation

CMS has released its “Adjustment of Civil Monetary Penalties for Inflation and the Annual Civil Monetary Penalties Inflation for 2021”.

Personal Auto Data
November 22, 2021

2021 personal auto growth and profitability: Unprecedented in new ways

Personal auto insurers had a year without precedent in 2020, and 2021 may break more new ground, but in very different ways.

Blog 3
November 12, 2021

Federal rules committee recommends no immediate action for third-party funding disclosure rulemaking at recent meeting

Federal rules committee recommends no immediate action for TPF disclosure rulemaking at recent meeting