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Claims Resolution and Settlement

7 Tips to Resolve Legacy Claim Files

Legacy Workers’ Compensation claims are cases that have been aging for months, years, or even …

7 Tips to Resolve Legacy Claim FilesRead More

Medical Records Review: Reduce Costs and Promote Settlements

Stakeholders interested in reducing the money spent on workers’ compensation claims and driving …

Medical Records Review: Reduce Costs and Promote SettlementsRead More

MSP Manual Update Puts MSAs into Motion at Provider Level

A recent change to a Medicare Secondary Payer Manual brings Medicare Set-Asides into play for …

MSP Manual Update Puts MSAs into Motion at Provider LevelRead More

Beware of the Settlement Minefield!

Settling a workers’ compensation claim is hard work. Once you have accomplished it, the agreement …

Beware of the Settlement Minefield!Read More

MD Law Firm Settles with DOJ for Failure to Reimburse Conditional Payments

In a recent publication, the U.S. Attorney’s Office for the District of Maryland has confirmed that …

MD Law Firm Settles with DOJ for Failure to Reimburse Conditional PaymentsRead More

Section 111 Civil Monetary Penalty Rulemaking is Delayed

Authored by: Ciara F. Koba, Esq., BSN Non-Group Health Plan reporting entities have been waiting …

Section 111 Civil Monetary Penalty Rulemaking is DelayedRead More

Tighten Up Your Settlement Agreements

Settling a workers’ compensation claim is hard work. Once you have accomplished it, the agreement …

Tighten Up Your Settlement AgreementsRead More

4 Steps to Reduce Exposure of Vacated Settlement Agreement

After a long and cold winter, spring break is upon us. Millions of Americans are getting ready for …

4 Steps to Reduce Exposure of Vacated Settlement AgreementRead More

2023 MMSEA Section 111 Reporting Updates

CMS opened 2023 with a series of updates to the NGHP Section 111 User Guide. First, on January 9, a …

2023 MMSEA Section 111 Reporting UpdatesRead More

Social Security Disability, Medicare, and Medicaid; Oh My!

Federal government disability and medical insurance programs cause problems in settling workers’ …

Social Security Disability, Medicare, and Medicaid; Oh My!Read More

Preparing for the Final Rule: Section 111 Common Mistakes, Misconceptions and Mishaps

Ciara Koba, Esq. of Allan Koba and Bridget Smith, JD, MSCC, CMSP of IMPAXX discuss Section 111 …

Preparing for the Final Rule: Section 111 Common Mistakes, Misconceptions and MishapsRead More

Tips and Traps to Effective Medicare Secondary Payer Compliance

By now, almost every member of the claim management team knows about the dangers of Medicare in …

Tips and Traps to Effective Medicare Secondary Payer ComplianceRead More

Tips and Traps to Effective Medicare Secondary Payer Compliance

By now, almost every member of the claim management team knows about the dangers of Medicare in …

Tips and Traps to Effective Medicare Secondary Payer ComplianceRead More

How to Complement Your Claims Programs: Identifying Key Settlement Partners

When selecting an outside resource for help, people prioritize different factors. Often, personal …

How to Complement Your Claims Programs: Identifying Key Settlement PartnersRead More

Experts Explain How to Prevent Losing Continuation of Care Post-Settlement

Here’s a scenario; an injured individual settles their workers’ compensation claim. A Medicare …

Experts Explain How to Prevent Losing Continuation of Care Post-SettlementRead More

A User Guide to Resolving Liens in Work Comp Cases

Resolving any workers’ compensation claim involves dealing with medical providers, health insurance …

A User Guide to Resolving Liens in Work Comp CasesRead More

Medicare Secondary Payer Compliance Claim Handling Tips

The Medicare Secondary Payer Act has required members of the claim management team to add another …

Medicare Secondary Payer Compliance Claim Handling Tips Read More

Tips for Navigating the Evolving Medicare Set-Aside Landscape

OVERVIEW What will the future of Medicare Set-Asides look like? How are Medicare Set-Asides and …

Tips for Navigating the Evolving Medicare Set-Aside LandscapeRead More

Leverage a Settlement Team for Optimal Claim Settlements

"Before anything else, preparation is the key to success." That statement, by Alexander Graham …

Leverage a Settlement Team for Optimal Claim Settlements Read More

Overcoming Objections to Achieve Optimal Settlement Outcomes

ONE HOUR CONTINUING EDUCATION (CE) CREDIT FOR ADJUSTERS ONLY Overview Join us for an informative, …

Overcoming Objections to Achieve Optimal Settlement OutcomesRead More

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