In a major development on the Medicare front, President Obama has signed the Strengthening Medicare and Repaying Taxpayers (SMART) Act into law. The SMART Act makes major revisions to Section 111 reporting, conditional payments, and other important Medicare Secondary Payer (MSP) compliance areas. I hope you can join me at the Verisk Insurance Solutions 2013 [...]
Medicare
While the only things certain in life may be, according to the old saying, death and taxes, Medicare Secondary Payer (MSP) compliance might be another reasonable item on that list for those in insurance claims processing. Happily, though, compliance needn’t be as vexing as the first two. In this web seminar, Mark Popolozio — our [...]
In 2012, ISO ClaimSearch continued to provide insurers with a number of integrated compliance solutions. Here are some of last year’s accomplishments: We operated the ISO ClaimSearch Medicare Secondary Payer Reporting Service (MSP on behalf of 689 companies representing more than 2,226 responsible reporting entities (RRE). It included processing approximately 15 million queries each month [...]
In December 2012, the Centers for Medicare and Medicaid Services (CMS) approved a substantial backlog of older workers compensation Medicare Set Aside (WC-MSA) proposals. Approximately 13,000 cases were pending when CMS hired a new review contractor, Provider Resources, Inc. (PRI), in July 2012. Many factors contributed to the delay. Among these factors was a substantial [...]
Here are updates on some topics you should know about if your company is required to report bodily injury claims to the Centers for Medicare and Medicaid Services (CMS). Medicare Secondary Payer Reporting Service User Meeting On June 20, 2012, ISO ClaimSearch® held its fourth user meeting for participants in the ISO Medicare Secondary Payer [...]
For many years, ISO ClaimSearch® has provided compliance reporting support to participating insurers by automatically reporting fires and auto theft and salvage to the appropriate state agencies (state fire marshals and fraud bureaus). In recent years, increased reporting requirements have challenged insurers by adding considerable pressure to their day-to-day claims operations. Since 2009, auto insurers [...]
