Articles, tagged with "insurer", page 2

Glaucoma Screenings: S0620 or G0117 -Which Code to go for?

With more than 18 choices to sift through when coding a glaucoma visit, you need these simple guidelines to secure the insurer preferred code that lands payment, and not denial. You have four choices for coding glaucoma exams, depending on the payer, ty... Read >
Author: Erin Lang Masercola

92225: How Do You Determine Medical Necessity For Billing Twice?

Can you shed some light on billing 92225 or 92226 with modifier 50, RT/LT, or two units for a patient following a pseudotumor cerebri in a nursing home? How do you find out medical necessity for billing twice? Both 92225 (ophthalmoscopy, extended, with ... Read >
Author: Erin Lang Masercola

Insurance Claims - Building & Real Property - Part I

Where a building has been damaged so that a partial loss has been suffered by the insured, then his loss is prima facie the cost of restoring the property to its condition immediately preceding the loss, so that it can be used for whatever purpose the ins... Read >
Author: tan2sie6

Insurance Claims - Building & Real Property - Part II

This reasoning was followed to achieve the opposite result in Exchange Theatre Ltd. v. Iron Trades Mutual Insurance Co. Ltd. [1983] 1 Lloyd's Rep 674. The insured operated a Victorian hall for bingo and discotheque gatherings and, following damage, the co... Read >
Author: tan2sie6

Other Conditions - Reasonable Care

Generally speaking, an insurer is unable to rely on the negligence of the insured to defeat his claim, in the absence of express provision to the contrary or wilful misconduct. Nevertheless, virtually all ARPI policies contain clauses requiring the insure... Read >
Author: tan2sie6

When Does The Duty Of Utmost Good Faith Arise - Part I

Historically, the duty of utmost good faith has been considered to be a pre-contractual duty and extends up until the date when the contract is completed - not when the contract actually incepts. This is logical because the underwriter's judgement can onl... Read >
Author: tan2sie6

A Guide to Understanding Your Insurance Excess

The excess is an insurance clause designed to lower premiums by sharing some of the insurance risk with the policy holder. A standard insurance policy will have an excess figure for each type of cover (and possibly a different figure for particular types ... Read >
Author: Simon Christopher

The Advantages of Slatwall Display Fixtures

Slatwall is just about the best display recommendations of outlet managers. Slatwall allows you to change a retail store wall into a elaborate selling technique. You can choose slatwall in a number of surface finishes and colors to enhance your retail sto... Read >
Author: Benny Valentine

Your car insurance covers you for negligent driving

A recent ruling by the Ombudsman for Short-Term Insurance shows that negligence is in fact covered by automotive insurers, even if the negligence constitutes a crime. According to the Ombudsman, "one of the objects of insurance is to protect the insured f... Read >
Author: Jason Esch

Attendant Care Rates Under Michigan No-Fault Insurance Laws

Michigan car accident victims are entitled to receive "attendant care service benefits" under the Michigan No-Fault Insurance laws. These benefits provide payments to a person or agency for attending to the injured person during his or her period of recov... Read >
Author: LBuckfire

Benefits of ERP in Insurance Sector

With the arrival of the globalization, the industry which is booming is the insurance industry. Many companies from all over the world are venturing into this insurance business. In developed as well as underdeveloped countries there are lots of scope in ... Read >
Author: Ryan Mutt

Implementing Change in the Healthcare System

For many of us change is a difficult process. In organizations like healthcare it seems to advance at a snail's pace sometimes. There is a need for change in healthcare, most agree, though we would be hard pressed to agree upon the changes needed. One inc... Read >
Author: Jewell Hardin

The Benefits of Owning Motorbikes

Motorbikes are a cost effective way to get from one place to another, but they can also be a whole lot of fun. Not only are you doing your bit to conserve fossil fuels when you choose motorbikes over cars, you are creating less congestion on the road. Mo... Read >
Author: Mel C

Attendant Care Benefits and Michigan No-Fault Insurance

Oftentimes, a person sustains serious injuries as a result of an auto accident, which renders him or her unable to do things that he or she was able to do prior to being injured. Sometimes, the injured person requires professional agencies to care for him... Read >
Author: LBuckfire

Mortgage Servicing Fraud - How They Push Homeowners to Foreclosure

In the past couple decades, since the government essentially created the abuse-encouraging mortgage servicing industry, there has been a wave of lawsuits against these servicers for a range of activities. Obviously, there is a systemic problem and homeown... Read >
Author: Nick Adama

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