Professional Guides » 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.
| 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 |
| Legal » Insurance Law | Case developments, articles, resources related to insurance law |
| Legal » Labor 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 |







