Monthly Archives: June 2016

Insurance 101 – Chapter 15 – Volume 90 – Hard Insurance Fraud Checklists

Hard Insurance Fraud Checklists The following video was adapted from my book, “Insurance Claims A Comprehensive Guide” Published by the National Underwriter Company and is available at the Zalma Insurance Claims Library Legal Disclaimer The author and publisher disclaim any … Continue reading

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Insurance 101 – Chapter 15 – Volume 89 – Insurance Fraud Checklists

Insurance Fraud Checklists Types of Insurance Fraud. The following video was adapted from my book, “Insurance Claims A Comprehensive Guide” Published by the National Underwriter Company and is available at the Zalma Insurance Claims Library Legal Disclaimer The author and … Continue reading

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Insurance 101 – Chapter 15 – Volume 88 – CPT Codes

CPT Codes An investigator who works in the medical field must become familiar with CPT codes, what they mean, and when to be suspicious of them. For example, code 99215 is often used in accident cases for the examination of … Continue reading

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Insurance 101 – Chapter 15 – Volume 87 – Doctor’s Office Records

Doctor’s Office Records The second type of medical record is that assembled by an  individual’s personal physician. The following video was adapted from my book, “Insurance Claims A Comprehensive Guide” Published by the National Underwriter Company and is available at … Continue reading

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Insurance 101 – Chapter 15 – Volume 86 – More Hospital Records

More Hospital Records The following video was adapted from my book, “Insurance Claims A Comprehensive Guide” Published by the National Underwriter Company and is available at the Zalma Insurance Claims Library Legal Disclaimer The author and publisher disclaim any liability, … Continue reading

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Insurance 101 – Chapter 15 – Volume 85 – Hospital Records

Hospital Records This Accreditation Manual for Hospitals requires that medical records be sufficiently detailed to enable a practitioner to give a patient effective continuing care; to determine, at a future date, what the patient’s condition was at a specific time; … Continue reading

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Insurance 101 – Chapter 15 – Volume 84 – Medical Claims

Medical Claims In the medical field, the majority of fraudulent claims are claims of bodily injury, illness, or disease. To intelligently investigate whether a medical claim is fraudulent, it is essential that the adjuster understand medical records and medical billing. … Continue reading

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