WorkCompWire: Jim Harris: Unleashing Powerful Insights Hidden in Your Bill Review Data
In this column, we look at five strategies that sophisticated vendors are deploying to elevate the bill review process to a strategic, data-focused initiative that can drive ongoing improvements for your workers' compensation program.
Artificial Intelligence: 7 Tips for Success
News and predictions about how artificial intelligence will shape the insurance industry are popping up almost every day. The infographic below highlights seven tips for working with artificial intelligence, including limitations, opportunities and emerging trends that you should keep in mind to better position yourself (and your company) for success.
Auto Casualty Medical Price Index: Q3 2017
2 MIN READ
The National CPI for All Services, as reported by the Bureau of Labor Statistics in November 2017 is 123.6, which reflects a 0.4 percent increase since Q2 2017.
Workers' Compensation Medical Price Index: Q3 2017
2 MIN READ
The National CPI for All Services, as reported by the Bureau of Labor Statistics, in November 2017, is 123.6, which reflects a 0.4 percent increase since Q2 2017.
Audit, Audit, Audit: Why You Should Further Scrutinize Workers’ Compensation Bills
3 MIN READ
It’s very easy for payors to end up overpaying on medical bills. Auditing – a crucial but often forgotten or under-executed part of the claims process – can help payors identify questionable billing practices and prevent overpayment on workers’ compensation claims.
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.