July 2015

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

Enterprise Risk Management (ERM) – NCSU 2015 Report on ERM

From research conducted by the ERM Initiative at North Carolina State University (NCSU) on behalf of the American Institute of CPAs, the current state of enterprise Risk Management was explored and recently reported.   Read more >>

Claim Settlement, Medicare, and Medicare Set Asides

Effective October 2015, the Centers for Medicare & Medicaid Services (CMS) will be transitioning a portion of the Non-Group Health Plan (NGHP) recovery workload from the Benefits Coordination and Recovery Center (BCRC) to its Commercial Repayment Center (CRC).   Read more >>

Recently, the Centers for Medicare and Medicaid Services (CMS) Released an Updated MMSEA Section 111 Non Group Health Plan (NGHP) User Guide - Version 4.7.   Read more >>

On July 14, 2015, the Centers for Medicare and Medicaid Services (CMS) announced that their Fraud Prevention System technology identified and prevented $820 million in improper Medicare payments in first three years of service to protect the Medicare Trust Fund.   Read more >>

Healthcare

Chronic Lower Back Pain – Causes, Treatments and Prevention

According to the National Institute of Neurological Disorders and Stroke, about 80 percent of adults experience low back pain at some point in their lifetimes. It is the most common cause of job-related disability and a leading contributor to missed work days.   Read more >>