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Melisa Zwilling
Aug 21, 2015
Join us at Booth #1025!
Dust off your leg warmers, tease up your hair, come celebrate the 80s with Carr Allison at Booth #1025 Be there or Be square! Register to...


Melisa Zwilling
Aug 6, 2015
Upcoming Conferences
We hope to see you this summer at: Alabama Self-Insurer's Association Summer Conference August 9-11, 2015 at Hilton Sandestin Resort Come...


Melisa Zwilling
Aug 6, 2015
Delaware Superior Court: MAOs Importance in the Medicare System
In Honey v. Bayhealth Medical Center, Inc., 2015 Del. Super. LEXIS 378, a Superior Court in Delaware recently bolstered the importance...


Melisa Zwilling
Aug 2, 2015
US District Court: Contractual Obligation Does Not Demonstrate Primary Payer Responsibility
In MSPA Claims 1, LLC v. Liberty Mut. Ins., No. 1:15-cv-21417-UU, 2015 U.S. Dist. LEXIS 99188 (S.D. Fla. July 22, 2015), an individual...


Melisa Zwilling
Jul 21, 2015
Case Study: Are Unnecessarily High MSAs Driving your Settlements Out of Range?
Quite often we are asked to provide second-opinion review of MSA allocations that were prepared by another vendor. We have consistently...


Melisa Zwilling
Jul 17, 2015
CMS Update: Section 111 NGHP User Guide
On July 13, 2015, CMS issued an updated Section 111 NGHP User Guide. In an effort to prevent false positives in partial SSN searches, CMS...


Melisa Zwilling
Jul 17, 2015
CMS Alert: ICD-10 Reporting Reminder
CMS issued an alert as a reminder that Responsible Reporting Entities and their agents must report ICD-10-CM diagnosis codes on claim...


Melisa Zwilling
Jun 24, 2015
Section 111: Rule on Penalties Not Expected Until December 2016
Under the SMART Act, CMS is supposed to issues rules specifying "practices for which sanctions will and will not be imposed." In...


Melisa Zwilling
Jun 18, 2015
CMS Alert: Matching Criteria for SSNs
On June 18, 2015, CMS issued an Alert entitled "Modification of Matching Criteria Used When Reporting Partial Social Security Numbers for...
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