October 2015

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

Enterprise Risk Management (ERM) – Enterprise Risk Management and ICD 10 Implementation

How will Enterprise Risk Management adapt to the implementation of the International Classification of Diseases Version 10 (ICD 10) for current and future Casualty, Health and Disability self-insurance and insurance programs?   Read more >>

Claim Settlement, Medicare, and Medicare Set Asides

CRC Commences Applicable Plan Recovery Process

Starting October 5, 2015, the Commercial Repayment Center (CRC) began identifying and recovering Medicare’s conditional payments for all new recovery cases where Centers for Medicare and Medicaid Services (CMS) pursues recovery directly from an applicable plan as the identified debtor.  Read more >>

Healthcare

Medicare Payments to Skilled Nursing Facilities Reevaluated

Last month, Daniel R. Levinson, Inspector General of the Department of Health and Human Services (HHS), raised longstanding concerns regarding Medicare's skilled nursing facility (SNF) payment system. Among those concerns were the SNF billings for high levels of therapy without markedly different patient results.   Read more >>