Understanding New York No Fault
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A PowerPoint overview of New York No-Fault Law, including the background of the law and regulation, an explanation of the scope of coverage, exclusions and benefits, and exploration of several issues, including notice and claims handling.
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![New York No-Fault Law: Understanding New York's No-Fault System Paul D. McCormick, Esq. Goldberg Segalla LLP 665 Main Street / Suite 400 Buffalo, New York 14203-1425 716.566.5466 Fax: 716.566.5401 Email: [email_address] Website: www.goldbergsegalla.com](https://image.slidesharecdn.com/gsbuffalo479878v1understandingnewyorknofault-123913502728-phpapp02/85/Understanding-New-York-No-Fault-1-320.jpg)
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2) Require healthcare providers to respond to insurers' requests for medical necessity verification within 120 days or provide justification for not doing so, to speed up the claims process.
3) Specify that technical defects in insurers' denial of claims or verification requests will not invalidate them, to reduce unnecessary litigation.
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The new no-fault regulations in New York that take effect on April 1st aim to:
1) Prevent insurers from having to pay for medical services that were not actually provided or that exceed the fee schedule.
2) Require healthcare providers to respond to insurers' verification requests within 120 days or risk having the claim denied.
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• Enable the business respond to and realise changes in response to external and internal pressures
• Identify business opportunities in technology trends and occasions for changes and greater efficiencies
• IT Architecture needs to be able to contribute to the development of business strategy and to be trusted to be able to make a contribution
• Identify how the business can use technologies and how the business should be shaped to take advantage of technologies
• Provide advice on the potential of new technologies and how to react to technology changes
• Offer real business consulting and the addition of business value
TOGAF 9 Architectural Artifacts
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Effective analysis and solution design minimise the Solution Space while maximising the size of Requirements Space encompassed within it.
You need to measure the progress of analysis and design and decision making to identify when progress is stalling.
The IT function needs to be a lens concentrating solution need onto solution options. It needs to successfully mediate between the business as the originator of a solution need and the solution provider, either internal or external or both. The IT function needs to be good at moving from analysis and option identification to an implementation decision quickly and effectively.
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Digital transformation - extending and exposing business processes outside the organisation - by implementing a digital strategy – a statement about the organisation’s digital positioning, operating model, competitors and customer and collaborator needs and behaviour through the delivery of digital solutions defined in a digital architecture – a future state application, data and technology view to achieve digital operating status - is potentially (very) complex.
Digital architecture does not exist in isolation entirely separate from an organisation’s overall enterprise architecture. Digital architecture must exist within the within the wider enterprise architecture context.
Enterprise architecture provides the tools and the approaches to manage the complexity of digital transformation.
The management function that drives digital transformation needs to involve the enterprise architecture function in the design and implementation of digital strategy and organisation, process and policies and the creation of a digital architecture. Management must appreciate the technology focus and the benefits of an enterprise architecture approach.
The early involvement of enterprise architecture increases successes and reduces failures. Management must trust and involve enterprise architecture. The enterprise architecture function must accept and rise to the challenge and deliver. The enterprise architecture function must allow its value to be measured.
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Fischetti Law Group is here to provide you with the legal guidance and resources needed for a variety of practice areas, no matter what happened. Our experienced professionals are qualified in a range of services, from car accidents to nursing home abuse, personal injury protection payouts, and homeowners insurance claims. Rest assured that your case will be handled by an expert. Take advantage of our broad list of services today!
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