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Data Reporting

Medical/Indemnity Update

Posted Date: September 13, 2021
    
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OverviewIn the KnowData TipsCommunication Update
OverviewIn the KnowData TipsCommunication Update

Welcome to the Indemnity and Medical Page

This page of The Data Connection is dedicated to Indemnity Data Call and Medical Data Call information.


NCCI’s Virtual Carrier Education Series

Inside NCCI’s Indemnity Data Call

NCCI Data Resources division experts, Maria Snow, Shani Oulton, and James Bonk, recently shared insight about NCCI’s newest data source, the Indemnity Data Call (IDC). You can find this conversation here, in the Learning Center on ncci.com. Maria, Shani, and James share how IDC supports workers compensation legislative proposals, and how NCCI worked with stakeholders to implement this multiyear initiative.

DMD 

Data Tips

Data Tip: Indemnity Data Call Reporting of Weekly Benefit Amounts

NCCI has recently noticed the Weekly Benefit Amount data element in the Transactional Data Record is not being reported consistently. Observations include:

  • When a cost-of-living adjustment (COLA) is reported as a separate transaction, report the Weekly Benefit Amount as the entire amount that is payable weekly on the claim instead of reporting only the COLA as the Weekly Benefit Amount
  • When Transactional corrections are submitted, the Weekly Benefit Amount is reported as zero
  • For states where monthly benefit amounts are referenced in the statutes (e.g., AZ and NV), ensure the Weekly Benefit Amount reflects a weekly amount and not a monthly amount

NCCI asks that data reporters review the Indemnity Data Call Reporting Guidebook to ensure this data element is being populated as defined.

Data Tips

Data Tip: Indemnity and Medical Guidebook Updates

Did you know the 2021 Indemnity Data Call Reporting Guidebook update was released on May 28, 2021? Be sure to check out the Change Tracking Guide. The update included additional examples and updated verbiage in some data element definitions.

Did you know the 2021 Medical Data Call Reporting Guidebook update was released on July 27, 2021? This update included minor clarifications. Check out the Change Tracking Guide for full details.


Don’t Miss These Important Resources on ncci.com

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Medical Data Reporters: Remember to check out the recently released 2021 Medicare Fee Schedules and Workers Compensation article on NCCI’s INSIGHTS page. The Centers for Medicare & Medicaid Services (CMS) made significant changes to reimbursement rules and rates for medical services in 2021, which will likely impact workers compensation fee schedules, with some already in effect.

NCCI experts Jon Sinclair and Gustav Van Rooyen describe the changes that are most pertinent to the industry and their potential impact on medical costs.

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Have you checked out the new Medical Indicators & Trends dashboard? This new dashboard is part of NCCI’s ongoing strategy to deliver more medical data insight for your analysis. It provides an interactive way to visualize state-specific information presented in the Q2 and Q3 2020 Medical Perspective reports. Please visit the Medical Indicators & Trends dashboard article for additional information on the dashboard. More detailed state-specific Medical Data Reports can be found in State Insight which is available to affiliates and regulators.

Please note this dashboard is best viewed in Chrome via a desktop browser.


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