Shawn Deane, vice president of Medicare / Medicaid compliance and policy, has been elected president of the National Alliance for Medicare Set-Aside Professionals.
On February 27, 2015, the Centers for Medicare and Medicaid Services (CMS) released the final rule allowing primary payers to appeal conditional payment demands.
The predictive analytics functional process is complex. Claims, carriers, TPAs, and self-insureds of all sizes must follow a series of steps before they can accurately and reliably score claims.