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Employee Spotlight: Walter Johnson
With Medicare recovery issues a top priority for our clients, we’d like to introduce you to Walter Johnson, our senior lien analyst. Walter has been with ISO Claims Partners for eight years. He is a...
View ArticleImpact of Utilization Review on Medicare Set-Asides
Although Utilization Reviews (URs) and Independent Medical Reviews (IMRs) have been used in state jurisdictions for years, insurers have only recently focused on how the Centers for Medicare and...
View ArticleMedication Trends to Watch
It’s no surprise that prescription medications are often the biggest cost driver in a Medicare Set-Aside (MSA). Physicians routinely prescribe costly medications to treat claimants’ injuries and manage...
View ArticleCMS Alert: Upcoming Reduction in Time Frame for Referrals of Delinquent Debts...
On August 5, 2015, the Centers for Medicare and Medicaid Services (CMS) released an alert indicating that the time frame for referrals of delinquent debts to the U.S. Department of the Treasury will be...
View ArticleAuditing the Auditor: What Every Company Should Know
With the ever-present threat of a CMS (Centers for Medicare and Medicaid Services) assessment of Section 111 reporting penalties looming on the horizon, many Responsible Reporting Entities (RREs) have...
View ArticleA Guide to the Office of Workers’ Compensation Programs (OWCP) Fee Schedule
Medicare Set-Asides (MSAs) are generally priced using the state fee schedule for the jurisdiction of the claim. However, it’s critical to distinguish an important group of cases covered by federal...
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ISO Claims Partners’ Carrie Barr recognized by Business Insurance 2015 Women...
ISO Claims Partners is proud to announce that Carrie Barr, senior vice president and chief operating officer, has been recognized by Business Insurance as one of 2015’s Women to Watch. Carrie is among...
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ISO Claims Partners: Raising the Bar Again
I’m very pleased to announce that Fran Provenzano is joining our medical team here at ISO Claims Partners. Fran was the president and CEO of Medicare Set-Aside Specialists, Inc., and has been on the...
View ArticleCMS to finalize new expedited conditional payment process
The Centers for Medicare and Medicaid Services (CMS) has announced plans to modify its Medicare Secondary Payer Recovery Portal (MSPRP) to include final conditional payment process functionality by...
View ArticleAvoiding the snares of the Treasury Offset Program
When a Medicare Conditional Payment case is referred to the U.S. Department of Treasury for collection, the Debt Management Services office in Birmingham, Alabama, and their four current Private...
View ArticleWill it be a Happy CMS New Year?
In the last five years, we’ve seen a lot of challenges for primary payers in the Medicare Secondary Payer (MSP) compliance arena. However, 2015 stands out for having produced more MSP changes than...
View ArticleCMS releases additional information on the new expedited conditional payment...
On December 21, 2015, the Centers for Medicare and Medicaid Services (CMS) released additional information regarding its continued implementation of the new expedited conditional payment process, set...
View ArticleNew CMS claims payment process begins January 1, 2016
On December 24, 2015, the Centers for Medicare and Medicaid Services (CMS) issued a reminder that its claims payment process for ongoing responsibility for medicals (ORM) reporting will change on...
View ArticleCalifornia WC Claims Remain Open Longer Than Any Other State: Breaking Down...
California has the most prolonged workers compensation medical payouts of any state in the nation, according to a recent study from the Workers’ Compensation Insurance Rating Bureau of California...
View ArticleLiability or Workers Comp? Federal Employment Acts and the MSP
When it comes to Medicare Secondary Payer (MSP) compliance, we usually make a distinction between workers compensation and liability insurance claims. Different elements of MSP compliance come into...
View ArticleMedicare Secondary Payer Implication Indicated in Proposed 2017 Budget
While most eyes were on the New Hampshire primary, President Obama unveiled his eighth and final White House budget on Tuesday, February 9, 2016. The President’s fiscal year (FY) 2017 budget, which...
View ArticleConditional Payments Update: Thousands of letters and notices issued
In a brief alert issued on February 11, 2016, the Centers for Medicare and Medicaid Services (CMS) announced that since the October transition of conditional payment recovery from the Benefits...
View ArticleUnique Solutions to 2016 Industry Challenges
Insurers are facing tough challenges in 2016 and ISO Claims Partners is working with you to meet these challenges in unique ways. As the industry confronts greater pressures to reduce expenses and...
View ArticleCMS announces Medicare Beneficiary Identifier implementation timeline
In April 2015, Congress required the Centers for Medicare & Medicaid Services (CMS) and the Social Security Administration (SSA) to find an alternative to the existing health insurance claim...
View ArticleTop five tips to get a handle on conditional payments
Conditional payments are one of the biggest challenges insurers face when resolving a case with a Medicare beneficiary. The problems that arise include late awareness of Medicare eligibility,...
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