» Human Resources Manager
» 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.
Bad faith, structured settlements, large losses, etc.
DRG, APG & ICD-9-CM and ICD-10-CM coding - Medicare payment rates
DHHS OIC compliance program, health care fraud, physician fraud, etc.
Insurance fraud, lawyer fraud, red flags, etc.
Federal and state court opinions - sources for case law
Negotiating legal fees and alternate billing arrangements
Case developments, articles, resources related to insurance law
Case developments, articles, resources related to employment & labor law
Legal case mgt, use of computer-generated evidence, attorney-client priviledge
The managed care industry, control of health care costs & quality in medicine
Workers compensation risk management resources - laws, state agencies, programs