CMS’s long-anticipated release of its “future medicals” notice of proposed rule making (NPRM) is now scheduled for October 2021.
The following provides a general overview of the PAID Act, CMS’s implementation plans, and related considerations as follows.
The Centers for Medicare and Medicaid Services (CMS) has released an updated Section 111 NGHP User Guide (Version 6.4, June 11, 2021) regarding non-group health plans.
Many claims teams lack visibility into where the claim is at once it hits the litigation phase.
The Centers for Medicare and Medicaid Services (CMS) has announced that it will be holding a webinar on June 23, 2021 at 1:00 p.m. (ET) regarding the Provide Accurate…
Medical provider fraud, waste, and abuse— which have largely eluded most insurers—is an insidious, often unseen, problem that can damage insurers’ margins.
Insurance service delivery has undergone extensive change, with customer convenience ushering in more and new technologies.
Every day, claims professionals are challenged with evaluating and processing claims quickly and accurately.
Last year we discussed ways the pandemic could impact workers’ compensation claims. Now, nearly a year later, we reflect on some of the answers to those questions.
When a claim settles, many claimants find themselves with a large sum of money that they are required to manage on their own.
The Centers for Medicare and Medicaid Services has released an updated Section 111 Model Language document dated March 10, 2021 (PDF version).
There remains much anticipation regarding the current state of the Centers for Medicare and Medicaid Services’ (CMS’s) Section 111 civil money penalties proposals.
The Centers for Medicare and Medicaid Services (CMS) has released an updated Section 111 NGHP User Guide (Version 6.3, April 5, 2021).
The Centers for Medicare and Medicare Services held what it billed as a Benefits Coordination & Recovery and Commercial Repayment Center non-group health plan Town Hall.
Economic turmoil, lifestyle changes, and transitions to remote work amid the COVID-19 pandemic created a “new normal” for personal property insurance.