Claims

10/23/2024 - 3 min read

Challenges in Insurance Claim Fraud Management

Insurers can overcome challenges by adopting tech strategies that align with their fraud detection goals.

10/22/2024 - 7 min read

WCMSA Submission Remains Voluntary, Leveraging EBMSAs to Settle Claims

With CMS’s plans to collect WCMSA reporting data through Section 111 TPOC reporting, it may be a good time reconsider the EBMSA landscape.

Colleagues Conversing Around Conference Table

10/22/2024 - 17 min read

CMS Addresses NGHP Section 111 Penalties During its October 17 Webinar

CMS conducted its second webinar on NGHP Section 111 CMPs, covering various topics related to CMPs for NGHP RREs.

10/16/2024 - 4 min read

Decimal Extension for Loss Costs and Rates are on the Horizon

The EDI & WCIO have discussed a change on how loss costs and rates are filed.

10/16/2024 - 4 min read

Verisk’s Data-Driven MSA: A Solution for Low-Dollar TPOC/WCMSA Reporting

Manage low-dollar workers’ compensation settlements ($25,000 or less) for Medicare beneficiaries under CMS’s updated process.

10/11/2024 - 17 min read

CMS Releases Section 111 NGHP User Guide (Version 7.7)

CMS released an updated Section 111 NGHP User Guide for reporting on non-group health plans: liability, no-fault, and workers' comp.

10/7/2024 - 6 min read

A New Era for Verisk's Anti-Fraud Solutions

Verisk appoints Shane Riedman president of Anti-Fraud Analytics, focusing on client-centric innovation and partnerships to meet evolving needs.

10/1/2024 - 1 min read

CMS to Host Section 111 NGHP CMPs Webinar on October 17th

CMS to host a Section 111 NGHP Section 111 CMP that will include reminders about Final Rule, the auditing process and important dates.

9/25/2024 - 13 min read

Voluntary Testing for TPOC/WCMSA Reporting Starts October 7, 2024

Reminder for Section 111 NGHP RREs: CMS’s voluntary testing for the new TPOC/WCMSA reporting starts October 7, 2024.

9/25/2024 - 8 min read

CMS’s CMPs Final Rule is “Applicable” October 11, 2024

CMS's CMPs final rule becomes “applicable” on October 11^th regarding Section 111 penalties.

9/24/2024 - 5 min read

Challenges in Insurance Claim Fraud Management

Insurers can overcome challenges by adopting tech strategies that align with their fraud detection goals.

9/17/2024 - 13 min read

CMS’s Section 111 Daily CMPs Max Rate for NGHP Reporting is Now $1,474

A new Section 111 update raises the maximum daily CMP for NGHP reporting.

9/16/2024 - 2 min read

Property Repair Costs Growth Accelerates in Q2 2024

Key factors in property expenses—labor, materials, claims, and trends in the US & Canada. Plus, review claims data trends vs. prior years.

9/11/2024 - 4 min read

Are Your WCMSA Protocols Being Followed? How Verisk’s MSA Link Can Help

CMS’ new process will require insurers to report several WCMSA data points as part of settlements involving Medicare beneficiaries.

9/10/2024 - 6 min read

Hurricane Preparedness and Recovery for Homeowners and Insurers

Hurricane Preparedness and Recovery for Homeowners & Insurers.