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Articles

Q&A: On ICD-10 prep for non-covered entities

Carl Natale, Editor, ICD10Watch | July 28, 2014

Interview with Michele Hibbert-Iacobacci

Not every healthcare organization is required to comply with the federal mandate for ICD-10 implementation. Insurers such as workers' compensation and auto insurers are not covered.

But it looks like they're going to adopt ICD-10 coding anyway, at least according to Michele Hibbert, vice president of information management support at Mitchell International. She has 25 years of experience working with major casualty insurers in implementing rules committees, quality assurance, risk management, compliance programs and review processes necessary in delivering objective bill review systems.

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Posted in: Articles, Auto Casualty Claims Processing

The State of Electronic Healthcare Transactions in Workers’ Compensation

By Scott Rupp | July 28, 2014
Guest post by Tina Greene

The Administrative Simplification provisions of the Federal Health Insurance Portability and Accountability Act of 1996 (HIPAA, Title II) include requirements that national standards for electronic health care transactions be established. These standards were adopted to improve the efficiency and effectiveness of the nation’s health care system by encouraging the widespread use of electronic data interchange in health care.…

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Posted in: Articles, Workers' Compensation Management

Insurance for the ages

Christopher Tidball | July 14, 2014

An in-depth look at the types of insurance coverage recommended at different stages of life

People generally have a love/hate relationship with insurance companies. We don’t like the bills and rising premiums, especially those of us with teenage drivers. But we certainly don’t mind when they pay us promptly for a claim.

When it comes to expenses, insurance can be one of the biggest monthly outlays of cash. But, can you do without it? That depends on your individual situation. Here’s a look at the various types of insurance to determine what is best for your needs.

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Posted in: Articles, Auto Casualty Claims Processing

Dissecting a BI Evaluation

Christopher Tidball | June 23, 2014

Determining liability is a critical element of the investigation

One of the most complex aspects of claims adjusting is that of bodily injury investigation. In this article, we are going to simplify the process and share key elements of the investigation that will ultimately drive outcomes.

Provided that coverage is in line, the immediate task at hand for new claims is to determine liability. It is important to remember that a claimant must prove both liability and damages in order for him to be legally entitled to compensation.

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Posted in: Articles, Auto Casualty Claims Processing

3D Scanning Technology: The Future of Estimating?

With today’s auto insurance claims, repair shops and claims departments rely on vehicle data in order to help accurately assess the cost of a vehicle repair. For most appraisers, the data is sourced from the three major estimating software providers that either collect the data themselves or license the data from third parties.

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Posted in: Articles, Collision Repair Management

ICD-10 Delays Lead to Higher Costs

Ed Rabinowitz | April 14, 2014

The cost to implement the mandated ICD-10 code set will be “dramatically more expensive for most physician practices” than previously anticipated, according to a recent study initiated by the American Medical Association and conducted by Nachimson Advisors. Why? “The main reason is because of the initial delay,” says Michele Hibbert-Iacobacci, a certified clinical coding specialist with Mitchell International. “Carriers have almost had to do their gap analysis twice. They’ve had to do requirements twice, because systems build upon systems. And we’re still hearing reverb of [additional] potential delays. I don’t believe that’s going to happen, but if it did, it would be another expense.”

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Posted in: Articles, Auto Casualty Claims Processing

Claims & Culture: Imperial Fire & Casualty

At Imperial Fire & Casualty, management makes a point of giving employees the technology they need, says Duane Heady, COO of holding company Imperial Management. "Traditionally, great customer service was defined as to the customer: the insured. But it's just as important that we consider our internal customers; we hope they see management cares enough to give them the tools to do the best job they can. Then we measure them."

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Posted in: Articles, Collision Repair Management

Fighting Back Against Rising BI Severities

By Christopher Tidball, Senior Director, Casualty Claims Consultant, Mitchell

Looking at insurance-loss trends can be quite baffling at times. Perhaps no more so than when trying to figure out why BI severities continue to rise despite frequency declining at a time when the safest cars ever produced are on the nation’s highways.

According to a recent study by the Insurance Research Council, the costs associated with bodily injury claims have exceeded the rate of inflation during the period of 2007-2012. While this is an interesting statistic, perhaps it would behoove us to take a deeper dive into this trend to try and shed some light on what insurers can do to improve outcomes.

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Posted in: Articles, Auto Casualty Claims Processing

Unlocking Big Data Benefits: Driving Claims Efficiency and Customer Satisfaction

By Ed Olsen, DC, CPCU | March 25, 2014

Today’s claims executives face tremendous financial pressures and must make better use of information and automation to respond faster and more effectively to an ever changing landscape. Many have focused their attention on data and analytics for help with loss management, resource planning, process improvement and policyholder satisfaction only to discover their datasets do not provide the level of detail or marketplace insight to create competitive advantage. As such, there is an evident market need for comprehensive real-time information that provides actionable insights, especially for insurers who do not have access to large amounts of historical claims data.

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Posted in: Articles, Auto Casualty Claims Processing

The ACA’s Anticipated Effect on P/C and Workers’ Comp Lines

By Denise Johnson | February 10, 2014

Though parts of the Affordable Care Act have been in place since 2010, key reforms began on January 1, 2014. According to industry experts, the ACA won’t affect the medical bill payment process; however, insurers will likely see an increase in the cost of medical care for auto accident patients, more subrogation liens from health insurers and the potential for delayed treatment in workers’ compensation claims.

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Posted in: Articles, Auto Casualty Claims Processing

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