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 / Litigation

Legal case mgt, use of computer-generated evidence, attorney-client priviledge

Managed Care

The managed care industry, control of health care costs & quality in medicine

Workers Comp

Workers compensation risk management resources - laws, state agencies, programs