(HIPAA) compliance guidelines?
• Implement a system for tracking the
New;regulations;are;adding;to;the;chal-lenges;claims;departments;face.;For;ex-ample, the Centers for Medicare and
Medicaid Services (CMS) are requiring
significantly more data to be reported.
You’ve Been Served:
A recent;study;commissioned;to;explore;the;major;challenges facing;claims;departments;uncovered;several;issues;they face;relative;to;successfully;processing;subpoenas.;Here
How to Process Subpoenas
for Claims Files
Challenge: The rising
number of claims
Adjusters are under a lot of pressure.
They are now assigned anywhere from
Solution: Logging, tracking
and verifying requests
if;the;request;is;valid.;This;means;ask-ing;questions;like:;Is;the;claimant;iden-tifiable? Is the DOA accurate? Does
the;authorization;meet;Health;Insur-ance Portability and Accountability