August 2017

Our e-newsletter for Enterprise Risk Management, Claim Settlement and Healthcare Solutions.

Enterprise Risk Management (ERM): 

General Damages – Pain, Suffering and Emotional Distress

The definition for general damages is generally understood to mean compensation for the non-monetary aspects of the specific harm suffered by a claimant. This is sometimes called the “pain and suffering” award for a claim.  Read more >>

Claim Settlement, Medicare, and Medicare Set Asides:

New Medicare System To Fight Medical Identity Theft

The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, requires Medicare to remove Social Security Numbers (SSNs) from all Medicare cards by April 2019.  Recently, the Centers for Medicare & Medicaid Services (CMS) have announced a process to execute this fraud protection program.  Read more >>

Healthcare:

DOJ and HHS Crackdown on Largest Ever Fraud Scheme

On 7/13/17, the Departments of Justice (DOJ) and Health and Human Services (HHS) announced the largest ever health care fraud enforcement action by the Medicare Fraud Strike Force, linking 412 defendants for their alleged participation in health care fraud schemes involving approximately $1.3 billion in false billings.   Read more >>

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