Global Surgical Package Fraudulent Billing
5 MIN READ
Sometimes the most innocuous conversations with family, friends and coworkers can lead to a major finding for medical billing fraud. Take the example of simply talking to your coworker in the next cube about a suspicious provider billing situation. To your surprise, you find out your coworker is having the same suspicion about the same provider on other auto first party claims. What ends up happening is a pervasive situation of intentional fraud uncovered by one conversation. This is exactly what occurred in identifying “Global Surgical Package Fraudulent” billing scenarios.
CPT Code Changes for 2018: Things to Look Out For
4 MIN READ
A new year means new Current Procedural Terminology (CPT) code changes! There are a total of 314 code changes in the 2018 code set, and with 2018 just around the corner, it’s time to start thinking about how these changes will impact the casualty industry.
RIMS 2018 Annual Conference & Exhibition
Visit Us at Booth #501 RIMS 2018 Annual Conference & Exhibition is the premier event for the risk management community.
Texas Farm Bureau Insurance Puts Customer Service in the Driver’s Seat with Improved Workflow Processing
For more than 50 years, families have relied on Texas Farm Bureau Insurance to help them manage risk in their everyday lives. The company occupies a unique market position, serving customer communities where people’s reputations are based on trust and agreements are often sealed with a handshake. Texas Farm Bureau has thrived by emphasizing high-touch, personalized service as an operational hallmark, inspiring many customers to traditionally hand down their memberships to offspring.
ICW Group Reduces the Pain of Recovery with Surgery Concierge Service
ICW Group Insurance Companies is the largest group of privately held insurance companies headquartered in California. Quoting more than $3 billion annually, ICW Group represents a group of carriers offering property, auto and workers’ compensation insurance. The company is recognized nationally as an industry leader in helping policyholders achieve fewer and less costly claims. It is also a leading advocate of high-touch customer service, particularly in supporting injured workers.
What Does Network Security Look Like When There Is No Perimeter?
Recently, it’s been said by many in the IT Industry that ‘the perimeter is dead’. But what, exactly, does that mean? Think of it this way: it hasn’t been that long since all users, devices and applications were corralled into a closed network with defined entry and exit points. Essentially, the ‘wagons were circled’ and a firewall could be built to protect the perimeter.
When, Why, and How to Use Nurse Review on Third Party Medical Claims
When third party auto casualty claims are extremely complex, for example, when multiple providers are treating a claimant, the claimant has pre-existing conditions or the claim has been open for an extended period of time, insurance carriers benefit by bringing in medical professionals to perform claim reviews. An organization of trained nurses can be an invaluable tool in a third party adjusters’ toolbox.
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