<img height="1" width="1" style="display:none" src="https://www.facebook.com/tr?id=1602061480087256&amp;ev=PageView&amp;noscript=1">

R&R Insurance Blog

HIPPA Regulations Another Liability For Hospitals

Posted by the knowledge brokers

Rules governing the restricted use of patient information create an additional liability exposure for the healthcare industry. The final HIPAA regulations establish the first ever national standards for privacy of health information. Enforcement activity for non-compliance may become an additional challenge for hospitals that are governed by these regulations in the near future.

R&R Insurance offers coverage that provides defense and indemnity protection for fines and penalties levied by Federal or State enforcement agencies as a result of government allegations of HIPAA regulatory violations.

For more information about Regulatory Compliance Insurance, contact a knowledgebroker.

Topics: Healthcare, HIPAA, Business Insurance, health-care industry

AHA's RACTrac Traces Hospital RAC Activity Impact

Posted by the knowledge brokers

Centers for Medicare & Medicaid Services (CMS) Recovery Audit Contractor (RACs) conduct automated reviews of Medicare payments to health care providers—using computer software to detect improper payments. RACs also conduct complex reviews of provider payments—using human review of medical records and other medical documentation to identify improper payments to providers. Improper payments include:

  • incorrect payment amounts;
  • incorrectly coded services (including Medicare Severity diagnosis-related group (MS-DRG) miscoding;
  • non-covered services (including services that are not reasonable and necessary);
  • duplicate services.

AHA created RACTrac—a free, web-based survey—in response to a lack of data provided by CMS on the impact of the RAC program on America's hospitals. Hospitals use AHA’s online survey application, RACTrac, to submit their data regarding the impact of the RAC program. Survey questions are designed to collect cumulative RAC experience data, from the inception of a hospital’s RAC activity through the 4th quarter of 2010. Survey registration information and RACTrac support can be accessed at ractracsupport@providercs.com 1-888-722-8712.

For more information about Recovery Audit Contractor, contact a knowledgebroker.

Topics: Healthcare, Recovery Audit Contractor (RACs), RAC activity, Business Insurance, Centers for Medicare & Medicaid Services (CMS), hospital’s RAC activity, Medicare Severity diagnosis, RAC Program

How To Calculate Incident Rates

Posted by Resource Center

Do you know your organization’s incidence rate....? Each year employers should not only record the number of injuries and illnesses but also calculate their incidence rate and benchmark against other like industries to determine future safety activities to decrease employee injuries/illnesses.

The calculation is simple.

Total number of injuries and illnesses x 200,000
÷
Number of hours worked by all employees
= Total recordable case rate

(The 200,000 figure in the formula represents the number of hours 100 employees working 40 hours per week, 50 weeks per year would work, and provides the standard base for calculating incidence rates.)

You can also compute the incidence rate for recordable cases involving days away from work, days of restricted work activity or job transfer (DART) using the following formula:

Number of entries in column H + Number of entries in column I) 200,000 ÷ Number of hours worked by all employees = DART incidence rate

Wisconsin business - If you would like to know how your business stacks up against your peers or competition with regard to your incident rate, contact knowledgebroker Maureen Joy at R&R for more information!

Topics: Safety, Long Term Care Insurance, Business Insurance

Your Credit Report Affects Your Insurance Score!

Posted by the knowledge brokers

Your credit report not only has an impact on your financing options for your home and car, it also affects your insurance score, which ultimately affects your homeowners insurance premiums. Insurance companies only consider those items from credit reports that are relevant to insurance loss potential. Both an insurance score and a credit score are derived from the same thing – a credit report, but they are distinctly different. Insurance scores are calculated using the following types of information:

  • Payment history: Have you made late payments or missed a payment?
  • Length of credit history: How long have you been using credit?
  • Current balance on each account compared to your highest balance: For example, if you had high credit card balances before are they lower now?
  • Number of credit accounts: How many accounts do you have? This may include credit card accounts or installment loans.
  • Credit inquiries: How often have lenders made inquiries into your credit report? This does not include “soft inquiries,” such as when a company reviews your credit report to make a promotional offer. (Credit inquiries are not used in all states.)
  • Bankruptcies, foreclosures and other collection activity (Bankruptcy information is not used in all states.)

An insurance score does not take into account income, race, gender, religion, marital status, national origin, geographic location.

Why do insurance companies use insurance scores?
Insurance scores provide an objective tool that insurers use along with other applicant information to better predict the likelihood of a consumer to file a claim. Insurance scores also help to streamline the decision making process, so that policies can be issued more efficiently. By accurately predicting the likelihood of future claims, insurers can control their risk, enabling them to offer insurance coverage at a fair cost.

How do I get a copy of my credit report?
Because information obtained from a credit report is used to determine an individual’s insurance score, customers should periodically obtain a copy of their credit report to confirm its accuracy. Your credit report can be obtained from the three major credit bureaus.

  • Equifax: 800-997-2493
  • Experian: 888-397-3742
  • Trans Union: 800-888-4213

What can I do to improve my insurance score?
Here are a few things you can do to improve your credit report and insurance score:

  • Apply for and open new credit accounts only as needed. Although it is generally good to have established credit accounts, too many credit card accounts may have a negative effect on your score. Over time, responsible use of credit can increase a customer’s insurance score.
  • Keep balances low on unsecured revolving debt like credit cards. High outstanding debt can affect an insurance score.
  • Pay bills on time. Delinquent payments and collections can have a major negative impact on an insurance score.

If you are a Wisconsin resident and would like more information on improving your insurance score, contact knowledgebroker, Dan Wolfgram.

Topics: Insurance, Personal Insurance, credit score, financial history, loss history, loss potential, insurance score, improve insurance score

Lightning Victim At Ease After Home Starts on Fire

Posted by Resource Center

Ted Marino, resident of Brookfield WI and an R&R customer since 1984, explains the peace-of-mind he had immediately after his home caught fire from a lightning strike during a storm in 2010. Ted and Chris escaped without harm, but their house was another story...

Wisconsin residents can have the same peace-of-mind that the Marino's experience. Contact knowledgebroker Dan Wolfgram for more information about personal insurance options through R&R Insurance Services.

Topics: Personal Insurance, Dan Wolfgram, Testimonials, lightning strike, Real Life Examples, Ted Marino, House starts on fire

Housekeeping: You Never Get A Second Chance to Make A First Impression

Posted by John Brengosz

You've heard this old adage before - and it's true in the insurance world as well. The housekeeping you keep in your business is the very first impression an OSHA inspector or an underwriter will have of your entire operation. Once a negative impression of your business is formed, it's very hard to undo that damage. Make housekeeping a daily part of your business operation - it will help to reduce your premium cost in the long run.

John Brengosz, Risk Management Specialist explains more about the importance of housekeeping and why it matters.

[video src="http://myknowledgecenter.com/video/John_Brengosz/John_Housekeeping.mp4" width="480" height="272"; poster="http://myknowledgecenter.com/video/skins/RRI_Video_logo.jpg"]

Topics: OSHA, Business Insurance

Special Hazards - Are They Contained?

Posted by John Brengosz

Special hazards are elements of an operation that create a significant fire hazard, such as sawdust or spray painting. An insurance carrier is going to to have a very scrutinizing eye when it comes to this part of your operation - be prepared to make sure that all aspects of these special hazards are contained.

John Brengosz, Risk Management Specialist explains more about containing special hazards.

[video src="http://myknowledgecenter.com/video/John_Brengosz/John_Special_Hazards.mp4" width="480" height="272"; poster="http://myknowledgecenter.com/video/skins/RRI_Video_logo.jpg"]

Topics: Business Insurance

Accident Investigation: OSHA Doesn't Require It - But You Should Anyway

Posted by John Brengosz

Believe it or not, OSHA doesn't require that an accident investigation be performed after an an accident in the workplace. But we highly suggest that an accident investigation take place in your workplace.

[video src="http://myknowledgecenter.com/video/John_Brengosz/John_OSHA_Requirements.mp4" width="480" height="272"; poster="http://myknowledgecenter.com/video/skins/RRI_Video_logo.jpg"]

(need more info from John on this one - reasons why...

Topics: Safety, OSHA, Workers Compensation, Business Insurance

What Was Your Sprinkler System Originally Designed to Protect?

Posted by John Brengosz

As buildings age and change ownership, they can be used to house many different types of businesses over the course of ownership. Very often, the building's sprinkler system was designed for one particular process and therefore may not be adequate for the current manufacturing process.

For example one building that used to house a sheet metal fabricator could today be housing a plastics manufacturer. These two types of manufacturers require two different applications of sprinkler systems. A sprinkler system designed for a sheet metal fabricator is significantly different than a sprinkler system designed for a plastics manufacturer.

Risk Management Specialist John Brengosz explains the three key aspects of a properly sprinklered building.

[video src="http://myknowledgecenter.com/video/John_Brengosz/John_Sprinkler_Protection.mp4" width="480" height="272"; poster="http://myknowledgecenter.com/video/skins/RRI_Video_logo.jpg"]

Topics: Business Insurance

Infared Electrical Scans Determine Electrical System Capacity

Posted by John Brengosz

Infared scans of your electrical systems can determine hot spots in your electrical panels - sure to be a high risk of causing an electrical fire in your commercial business. Infared scans can detect heat levels in your electrical system and warm/hot spots that are sure indicators of a system overload.

Regular testing is one way to ensure that your electrical systems are adequate to handle the capacity your business needs today. Relying on yesterday's capacity can be risky. John Brengosz, Risk Management Specialist explains more about infared electrical scanning.

[video src="http://myknowledgecenter.com/video/John_Brengosz/John_Electrical_Systems.mp4" width="480" height="272"; poster="http://myknowledgecenter.com/video/skins/RRI_Video_logo.jpg"]

Topics: Business Insurance