What's New : 31-60 Days : Claims Management
Insurance claims handling administration for property and liability claims, WC claims, auto claims, bond claims. Claims reporting procedures. Injury management and return to work programs. Claims reserving practices. Structured settlements. Claim audits. Use of PEO's and TPA's
Claims Management » Health Claims Code Sets
DRG, APG & ICD-9-CM and ICD-10-CM coding - Medicare payment rates
DRG, APG & ICD-9-CM and ICD-10-CM coding - Medicare payment rates
Seven Tips to Improve Your ICD-9 Coding for Diagnostic Tests [16174] 
You can prevent costly claims denials by following these guidelines
National Alliance of Medicare Set-Aside Professionals [33321] Non-profit association exclusively addressing current issues and challenges of Medicare Set-Aside arrangements
Property Valuation [34320] A series of articles on the application of replacement cost, optional property insurance values, gaps in replacment cost
Claims Management » Return to Work
Managing workers compensation costs by returning injured workers to work
Managing workers compensation costs by returning injured workers to work
Best Practices for Early Return to Work Program ![[pdf]](graphics/file_pdf.gif){kind=small}
[32935] Guidance for developing a transitional duty program
Understanding Spinal Cord Injury [5312] Provides an overview & statistics on demographics, cost, morbidity, causes, consequences, etc.
Claims Management » WC Decisions
State WC board decisions, court rulings, amicus curiae briefs on WC cases
State WC board decisions, court rulings, amicus curiae briefs on WC cases
GA-Georgia ICMS System [32926] ICMS - Integrated Claims Management System - includes EDI and web submissions
PA-Pennsylvania EDI Requirements for WC [36290] Electronic Data Interchange (EDI) involves the computer-to-computer exchange of data between companies and the State
GA-Georgia Workers’ Compensation Medical Fee Schedule [27191] Ordering information only (fees) - not online
PA-Pennsylvania Charge Classes by Zip Code [23215] The major users for this list are those who reprice medical bills to the workers' compensation fee schedule
PA-Pennyslvania: WC Fee Schedule [11253] Workers' Compensation Fee Schedule for Part A (Tables A through H) and Part B medical providers
Claims Management » WC Forms
Download state workers compensation forms such as first report of injury
Download state workers compensation forms such as first report of injury
GA-Georgia - Workers Compensation Forms [6267] Download a large number of workers compensation forms for the state of Georgia
Claims Management » WC Managed Care
Guidance on managed care in workers compensation to control medical costs
Guidance on managed care in workers compensation to control medical costs
GA-Georgia Best Practices for Selecting Doctors for Your WC Panel [32936] Identifies 3 panel options available under Georgia WC law
GA-Georgia Workers Compensation Managed Care & Rehabilitation Division [15241] Certifies managed care organizations for Workers' Compensation in GA
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Claims Administration
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