Workers' Compensation Services

Conditional PaymentsGain a strong advocate in Medicare disputes to eliminate risk and exposureThe stakes are high when dealing with Medicare conditional payments. With the right advocate, you can save money, mitigate exposure, and ensure resolution of claims. As an industry leader, ISO Claims Partners is uniquely positioned to ensure proper…
CP Link™The only automated and integrated solution to expedite conditional payments and improve your compliance programWith Section 111 reporting, you’re already sending Medicare all the data it needs to seek recovery on conditional payments. Now you can put that same data to work for you. Addressing Medicare exposure programmatically and…
Legal ZeroDisputed claims and Zero MSAs — advocacy mattersISO Claims Partners Legal Zero is a set of services that can help you reduce the cost of individual Medicare Set-Asides (MSAs) to $0 in appropriate cases.BackgroundTo get the most favorable agreement with Medicare on an MSA, you need to consider both…
Medicare Set-AsideAn advocacy-driven approach to Medicare Secondary Payer complianceThe Medicare Secondary Payer (MSP) statute charged the Centers for Medicare and Medicaid Services (CMS) with protecting Medicare’s “future interests,” and CMS identified Medicare Set-Asides (MSAs) as the preferred way to allocate payment for future treatment.In 2006, ISO Claims Partners developed an…
MMSEA Section 111 Compliance AuditAn MMSEA Section 111 Compliance Audit from ISO Claims Partners is a detailed review of your Section 111 reporting process. Such an audit can help you avoid penalties, improve your workflow, and reduce loss costs.BackgroundSection 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007…
MSA Clinical ReviewContaining pharmaceutical costs and driving MSA savingsAn MSA Clinical Review from ISO Claims Partners is an analysis of the pharmaceutical costs associated with a Medicare Set-Aside (MSA) case. The review defines — in collaboration with the treating physicians — the appropriate current and long-term pharmaceutical regimen, with a…
MSP Navigator®Proactive, accurate, claims complianceEliminate the guesswork and compliance gaps from your Section 111 reporting with MSP Navigator®. As the premier Section 111 reporting tool, MSP Navigator proactively handles compliance in a way that:considers your organization’s systems and claim-handling proceduresminimizes intrusion into adjuster time and workflowsaves time while ensuring error-free…
Non-Submit AllocationReduce costs before settlement to gain advantage laterTurn to an ISO Claims Partners Non-Submit Allocation for cases that don’t require Centers for Medicare and Medicaid Services (CMS) review. Non-Submit Allocation will help resolve the claim contingent on primary payer protocol, claimant concerns, jurisdictional considerations, and settlement type.With Non-Submit Allocation,…
PAAS Classification GuidesAccurate classification of risks is an indispensable part of the premium audit process. Risk classification is also essential to underwriting and rating. To help you classify general liability and workers' compensation risks, ISO's Premium Audit Advisory Service (PAAS®) has developed more than 40,000 classification guides.Available in electronic format through PAAS on ISOnet or…
Pre-MSA PlusPre-MSA Plus from ISO Claims Partners provides an analysis of the potential amount of the Medicare Set-Aside (MSA) for a claim — together with as assessment of the prescription medications involved. The service helps you determine if a settlement of the case is feasible under the current treatment plan.…
Pre-MSAGetting ahead of the settlement curvePre-MSA from ISO Claims Partners provides an analysis of the potential amount of the Medicare Set-Aside (MSA) for a claim. The service helps you determine if a settlement of the case is feasible — and identify issues you can address before settlement to reduce the…
Protocol Design ServiceDeveloping a Medicare game planMedicare Secondary Payer (MSP) compliance continues to present challenges for claims payers. You need a game plan from day one. Recognizing how to navigate the major MSP issues affecting claims should be an integral part of any effective claims-handling practice. The ISO Claims Partners…
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