A recent U.S. district court order has moved self-insurers and insurance carriers into a more prominent position as the targets for collection efforts by Centers for Medicare & Medicaid Services.
A recent U.S. district court order has moved self-insurers and insurance carriers into a more prominent position as the targets for collection efforts by Centers for Medicare & Medicaid Services.
A review of the Model Act and Regulations demonstrates that their intent was for violations to be dealt with through the imposition of administrative remedies rather than judicial penalties in civil litigation.
Adjusters face a significant problem when they encounter a claim where there exists a suspicion that the insured either contributed to the loss or has intentionally exaggerated the estimate of damages.
Today's adjuster is frequently responsible for handling claims in several states. This applies to both the in-house claim office staff and to independent adjusters.
DebugScreen: mobile
{
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"articles": [
{
"uri": "/2011/06/16/when-cms-comes-collecting/",
"title": "When CMS Comes Collecting",
"byline": "Tim Lynch",
"kicker": "Commentary",
"prettyDate": "June 16, 2011",
"timeToRead": "4 minute",
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],
"summary": "A recent U.S. district court order has moved self-insurers and insurance carriers into a more prominent position as the targets for collection efforts by Centers for Medicare & Medicaid Services.",
"body": null
},
{
"uri": "/2011/06/16/when-cms-comes-collecting/",
"title": "When CMS Comes Collecting",
"byline": " Tim Lynch ",
"kicker": "Commentary",
"prettyDate": "June 16, 2011",
"timeToRead": "4 minute",
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"authors": [
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"kickerNode": [
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"uri": "/commentary/",
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],
"summary": "A recent U.S. district court order has moved self-insurers and insurance carriers into a more prominent position as the targets for collection efforts by Centers for Medicare & Medicaid Services.",
"body": null
},
{
"uri": "/2010/11/30/legal-year-in-review/",
"title": "Legal Year In Review",
"byline": "Tim Lynch, Stacey Stone",
"kicker": "Market Insights",
"prettyDate": "November 30, 2010",
"timeToRead": "8 minute",
"image": {
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"name": "Tim Lynch, Stacey Stone"
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"kickerNode": [
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],
"summary": "A brief overview of cases from 18 jurisdictions affecting important areas of insurance claim handling for 2010.",
"body": null
},
{
"uri": "/2008/11/26/enforcement-and-consequences/",
"title": "Enforcement and Consequences",
"byline": "Tim Lynch",
"kicker": "",
"prettyDate": "November 26, 2008",
"timeToRead": "4 minute",
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},
"authors": [
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"kickerNode": [],
"summary": "A review of the Model Act and Regulations demonstrates that their intent was for violations to be dealt with through the imposition of administrative remedies rather than judicial penalties in civil litigation. ",
"body": null
},
{
"uri": "/2008/10/30/when-the-smoke-clears/",
"title": "When the Smoke Clears",
"byline": "Tim Lynch",
"kicker": "",
"prettyDate": "October 30, 2008",
"timeToRead": "5 minute",
"image": {
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"authors": [
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"kickerNode": [],
"summary": "Last month's article offered an overview of the provisions found in 19 states' versions of the Unfair Claims Practices Regulations.",
"body": null
},
{
"uri": "/2008/10/01/protecting-adjusters-from-fraud-traps/",
"title": "Protecting Adjusters from Fraud Traps",
"byline": "Tim Lynch",
"kicker": "",
"prettyDate": "October 01, 2008",
"timeToRead": "5 minute",
"image": {
"uri": "",
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},
"authors": [
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"kickerNode": [],
"summary": "Adjusters face a significant problem when they encounter a claim where there exists a suspicion that the insured either contributed to the loss or has intentionally exaggerated the estimate of damages.",
"body": null
},
{
"uri": "/2008/09/06/third-party-claims/",
"title": "Third-Party Claims",
"byline": "Tim Lynch",
"kicker": "",
"prettyDate": "September 06, 2008",
"timeToRead": "5 minute",
"image": {
"uri": "",
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},
"authors": [
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],
"kickerNode": [],
"summary": "Sixteen states require that the insurer send an acknowledgment of the receipt of the claim.",
"body": null
},
{
"uri": "/2008/07/28/unfair-claim-settlement-practices/",
"title": "Unfair Claim Settlement Practices",
"byline": "Tim Lynch",
"kicker": "",
"prettyDate": "July 28, 2008",
"timeToRead": "4 minute",
"image": {
"uri": "",
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},
"authors": [
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],
"kickerNode": [],
"summary": "Today's adjuster is frequently responsible for handling claims in several states. This applies to both the in-house claim office staff and to independent adjusters.",
"body": null
}
]
}
}
