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If you make payments to Medicare beneficiaries, you are required to report them under Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA). MMSEA supports transparency between payers and Medicare to improve benefits administration, but reporting can be tricky business. You need to set up the right software, identify the right […]
On December 6, 2022, CMS hosted an online webinar addressing NGHP Section 111 reporting issues. The first half of the webinar covered concerns and points of interest from CMS’s point of view and the second half was a Q&A session fielding attendee concerns. We heard a varied list of CMS’s concerns with the quality (and […]
In the first post in this series, we discussed potential claims that might be subrogated in various lines of business. This time around, we’ll take a more general view of subrogation and the importance of managing the intricacies of subrogated claims. Recently, PropertyCasualty360 published an article entitled, “Why subrogation is more than a final box to […]
Supermarkets are often hard to insure. There are at least three reasons for that: First, the number of coverages they need can be daunting. Second, the number of employees (workers compensation) and customers (general liability) that have to be covered can be even more daunting. Third and most important, the sheer number of claims they […]
You can tell you’re really deep in the claims weeds when you start thinking about subrogation. Since we are deep in the claims weeds, we have to think about it. To put it simply, just in case you’re not deep in the claims weeds, subrogation refers to an insurance company’s seeking reimbursement for the costs of […]
`Curiouser and curiouser!’ cried Alice (she was so much surprised, that for the moment she quite forgot how to speak good English). We thought of that line from Alice’s Adventures in Wonderland when we read a recent article in PropertyCasualty360. The article — “Mitigating risk & reducing employee claims for commercial clients” — said this, in […]
We have a number of clients in the transportation industry. Given the number of claims to which trucks and truck drivers are susceptible, we’re always eager to help our clients manage, track, and settle their claims as quickly and efficiently as possible. Two of our client companies — Long Haul Cowboys, Inc. and Big Rigs […]
No. The title of this post isn’t a typo. It occurred to us as we were thinking about crowdfunding, which Wikipedia defines like this: Crowdfunding is the practice of funding a project or venture by raising money from a large number of people … typically via the Internet. Then we thought about the time, the […]
Regardless of the business you’re in — insurance, transportation, construction, hospitality, carwashes, municipal government, or any other — the last thing you want and the thing you can least afford is an unhappy customer. And if you’ve been in any kind of business for a while, you likely know it costs significantly more to acquire […]
As much as anything else, the car care business is a customer-satisfaction business. No satisfaction, no customers. As a result, car care business owners can incur liability claims for any number of reasons (premises liability, property damage, personal injury, the conduct of others acting on your behalf, and more) from any number of incidents. That’s why […]
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