The Essential Guide to Claims Technology in a Changing Environment 16
C H A P T E R 6 :
Regulatory Considerations
The workers' compensation compliance market
is continually changing. Claim organizations are
being called upon to provide increasing amounts
of data while keeping up with complex and ever-
changing local, state, and federal regulations.
Remaining compliant is not a simple task. It takes time
for adjusters to understand the intricate requirements.
From CMS reporting, regulations differing state-by-
state, jurisdictional forms at multiple points along
the claims process, and EDI reporting, organizations
have a lot on their plate regarding compliance.
With steep penalties and fines for non-compliance,
organizations need to find innovative ways to reduce
manual intervention and automate as much as possible.
Current technology can help organizations stay up to date
and compliant through streamlined reporting, improved
accuracy, and a reduction in overall administration costs.
This chapter in 20 seconds…
»Remaining compliant with ever-changing
local, state, and federal regulations is a
top priority for claim organizations.
»Current technology can help organizations
stay up to date and compliant by integrating
letters, forms, and reports into the application
as well as updates as they're released.
»Data interchange is also a factor
as claim organizations are called
upon to provide increasing amounts
of data to regulatory bodies.
