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Claims

June 24, 2022

The RAMP Act is introduced in Congress – proposed bill aims to repeal Medicare’s private cause of action (“double damages”) statute

In a major MSP compliance development, the RAMP Act was introduced into the United States House of Representatives on June 14th.

Big Earthquake
June 3, 2022

Are property owners and insurers ready for the next big earthquake?

The big question facing many insurers and policyholders is: Are we equipped for these rare-but-devastating disasters?

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May 31, 2022

New ways of accessing policy information speeds claim settlements

Claim handlers spend a lot of time on the phone trying to get third-party policy information for subrogation purposes or to validate coverage.

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May 23, 2022

Why injury analytics aren’t just for soft-tissue claims

Rising injury claim severity is presenting insurers with significant challenges. Not only are these claims more costly, but they’re often more complex.

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May 23, 2022

COVID-19 and Workers’ Compensation in 2022: Legislative Update and Clearing Presumption of Coverage Hurdles

After two years, COVID-19 continues to impact workers’ compensation claims. In previous entries, we provided a broad look at the industry.

Lifecycle Property
May 16, 2022

How can changes in home ownership and occupancy create hidden risks?

Knowing a property's history, including changes in ownership and occupancy, is essential to paint a vivid picture of a property's condition.

Make Your Suspected Fraud Referrals Stand Out To Law Enforcement
May 12, 2022

Make your suspected fraud referrals stand out to law enforcement

How can you ensure your suspected fraud referral will grab the attention of law enforcement?

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April 18, 2022

Reducing WCMSAs and Getting Claims Settled: Cost mitigation strategies for success

It is no secret that high WCMSAs amounts can complicate claim settlement, insurers often have more power than they realize.

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April 14, 2022

CMS discusses the MSPRP’s “go paperless” function at recent webinar

CMS held a webinar to discuss the Medicare Secondary Payer Recovery Portal’s (MSPRP’s) “Go Paperless” function.

Understanding Evolving Hail Risk
March 28, 2022

Four things insurers need to know about 2021's hailstorms

More than 6.8 million properties were affected by one or more damaging hailstorms, a nearly 10 percent increase from 2020

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March 24, 2022

Updated Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 3.6) released – CMS makes further clarifications to its WCMSA EBMSA/non-submit policy and other updates

CMS makes what it terms as “clarifications” regarding the application of its EBMSAs and non-submit MSA policy as stated in Section 4.3 of the Reference Guide.

Simplify Streamline Innovative Solutions
March 23, 2022

Simplify, streamline, and automate the total loss process

When a vehicle is deemed a total loss, it can take days or weeks for the auto insurers to notify and pay the lienholder.

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March 16, 2022

How insurers can improve demand package review results for injury claims

It takes substantial resources to get a complete picture of the medical history and relevant data in a case to properly review demand packages.

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March 15, 2022

Why data is the key differentiator in fraud detection

Organizations have been investing heavily in AI recently, and the insurance industry is no different.

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March 11, 2022

Medicare Secondary Payer recovery debts can now be paid using automated clearing house transactions

CMS has released a notice advising that MSP recovery debts may now be paid using ACH transactions.

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