Medicare Compliance and Reporting
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Streamlined, accurate Medicare compliance to mitigate risk and lower expenses
Now more than ever, it’s vital to implement a solid compliance program in order to avoid penalties and lay the groundwork for cost mitigation in claims.
Choose your biggest claims challenge
Where does your program need to improve?
Discover Verisk’s robust claim insights and compliance support
Discover Verisk’s robust claim insights and compliance support
For a superior compliance program and data-driven claims insights, talk to Verisk today.
Slash time and spend on record review
Slash time and spend on record review
Discover how much time and money your claims organization can save by trying our virtual Savings Calculator Now.
Automate the retrieval of medical information with Discovery Navigator
A cutting-edge that tool utilizes natural language processing (NLP) and offers options for identifying and extracting certain terms within unstructured medical records resulting in expedited file review at a far lower cost than manual review.
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How WCMSA Services Help you Reduce Costs and Get Claims Settled
How WCMSA Services Help you Reduce Costs and Get Claims Settled
Verisk’s suite of WCMSA services and cost-mitigation strategies provides workers’ compensation insurers with the help that they need to get costs under control and claims settled.
What is Medicare Part D? Program Overview, Part D recovery Issues, and Claims Handling Considerations
What is Medicare Part D? Program Overview, Part D recovery Issues, and Claims Handling Considerations
Learn how Medicare Part D works, the program’s impact on claims, and the resulting secondary payer recover issues.
Medicare 2022 Watch List: Getting on Top of the Big Issues
Medicare 2022 Watch List: Getting on Top of the Big Issues
Be prepared to deal with Medicare issues this year to ensure that you are on top of the key trends and updates from a practical claims perspective.
Medicare 2023 Watch List: Get on Top of this Year’s Big Issues
Insurers face a myriad of Medicare secondary payer challenges in the new year. Prepare for the year ahead by downloading our report, Mastering CMS’s Moving Targets to Stay Compliant and Improve Claims Outcomes.
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Discover the latest insights
The United States District Court for Massachusetts dismisses a Medicare Advantage claim for “double damages” – rules that insurer’s Section 111 reporting does not establish standing to sue
The U.S. District Court for Massachusetts dismisses Medicare Advantage claim for “double damages”—rules insurer’s Section 111 reporting doesn't establish standing to sue.
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CMS releases the WCMSA Reference Guide Version 3.9
CMS has made various updates to different aspects of its WCMSA process, including removing the time limit on Amended Reviews.
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CMS to hold a Section 111 Non-Group Health Plan (NGHP) Unsolicited Response File Webinar on Tuesday June 6, 2023
CMS to hold a Section 111 Non-Group Health Plan (NGHP) Unsolicited Response File Webinar on Tuesday June 6, 2023
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CMS’s NGHP Unsolicited Response File “opt-in” process starts in July 2023 – Q&A, issues, and considerations
Earlier this year (CMS) formally announced a new non-group health plan (NGHP) Unsolicited Response File “opt-in” feature. Per CMS, this new process starts “July 2023”
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