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.
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.
Managing Medical Records is Key to Improving Third Party Claim Settlements
Documents that adjusters receive from attorneys or claimants related to third party claims are typically unorganized, inaccurately coded and seemingly stacked a mile high. It can feel like an insurmountable challenge to organize, digitize and understand every detail of the medical records, but processing a claim without first organizing, capturing the data and properly coding documents can make it difficult for an adjuster to efficiently reach the most accurate settlement.
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