Claims

Eleventh Circuit rules that Florida Medicaid may seek recovery of its past payments from those portions of the settlement agreement representing past and future medical care

CMS releases new NGHP Section 111 User Guide (Version 5.9)

CMS’s expected release of its “future medicals” proposals now scheduled for August 2020

Key changes to Michigan PIP start July 1, 2020 – Medicare Secondary Payer compliance impact

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

Insurance fraud detection in action: Identifying suspicious medical billing during the COVID-19 crisis

Great Recession Infographic—déjà vu for personal auto insurers?

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

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

Storms Ciara, Dennis, and Jorge reinforce need for robust models

The critical role fraud scenarios play in advanced analytics

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

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