Protocol Design Service

Developing a Medicare game plan

Medicare 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 Protocol Design Service can help you meet the challenges.

Key features of the Protocol Design Service

  • Assesses your current MSP compliance practices
  • Addresses Medicare, Medicaid and SCHIP Extension Act (MMSEA) Section 111 reporting, conditional payments, and Medicare Set-Aside (MSA) issues
  • Develops practical compliance protocols based on the MSP statute, your objectives, and your tolerance for risk
  • Includes education and training for claims handlers and counsel
  • Assesses potential medically inappropriate prescription drugs and their effect on settlement costs

Benefits of Protocol Design

  • Ensures consistent consideration of Medicare’s interests
  • Provides standardized compliance practices
  • Avoids ad hoc and last-minute approaches
  • Defines everyone’s role in the program

For more information about ISO Claims Partners Medicare compliance services

Representatives are available Monday through Friday, 9 a.m. through 8:30 p.m. Eastern time.