Risk Management & Insurance Industry - Knowledge & Resource Center

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    » Insurance: Claims Management

Claim management guidelines, such as structured settlements, work-relatedness of diseases, disability costs, reserving guidelines, case law, databases of health codes including DRG, ICD-9, IDC-10, APG, etc.

Updated Claims Management / Claims Administration

Bad faith, structured settlements, large losses, etc.

Claims Management / Health Claims Code Sets

DRG, APG & ICD-9-CM and ICD-10-CM coding - Medicare payment rates

Claims Management / Health Fraud

DHHS OIC compliance program, health care fraud, physician fraud, etc.

Claims Management / Insurance Fraud

Insurance fraud, lawyer fraud, red flags, etc.

Legal / Courts

Federal and state court opinions - sources for case law

Legal / Fees

Negotiating legal fees and alternate billing arrangements

Updated Legal / Insurance Law

Case developments, articles, resources related to insurance law

Updated Legal / Labor Law

Case developments, articles, resources related to employment & labor law

Legal / Litigation

Legal case mgt, use of computer-generated evidence, attorney-client priviledge

Updated Managed Care

The managed care industry, control of health care costs & quality in medicine

Updated Workers Comp

Workers compensation risk management resources - laws, state agencies, programs



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"You are not judged by the number of times you fail, but by the number of times you succeed. And the number of times you succeed is in direct proportion to the number of times you can fail and keep on trying.

- Mother Teresa

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