Back to School…Medicare Style

Claims Management and Fraud Prevention

Our comprehensive suite of tools supports you at every step of the claims life cycle — from claims reporting and analysis through claims adjustment and investigations. Our tools, software, and analytics help you streamline your workflow, control costs, and fight fraud.

We created the industry’s premier claims reporting and management system, along with complementary databases, to help you quickly identify meritorious claims for processing. We offer a variety of tools to help detect and prevent fraud, including software that uses visual link-analysis technology to uncover suspicious patterns that would otherwise go undetected.

Our specialized tools help you streamline the subrogation process; manage complex bodily injury, workers' compensation, and comparative liability claims; and automate SIU case management. We even help you estimate repair costs for structural repairs and personal property.

We provide services and national databases to prevent cargo and heavy equipment theft and improve recovery rates. And our background checks and employee screening services help you mitigate risk, protect your assets, and remain compliant by maintaining rigorous hiring practices.

 
 
 

Products and Services

MSA Clinical Review Containing pharmaceutical costs and driving MSA savings An 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,...
Non-Submit Allocation Reduce costs before settlement to gain advantage later Turn 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....
Legal Zero Disputed claims and Zero MSAs — advocacy matters ISO 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. Background To get the most favorable agreement with Medicare on an MSA, you...
Medicare Set-Aside An advocacy-driven approach to Medicare Secondary Payer compliance The 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...
Pre-MSA Plus Pre-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...
Pre-MSA Getting ahead of the settlement curve Pre-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...