Medicare Compliance and Reporting

Empowering insurers to comply fully with Medicare

Navigating the complex and ever-changing Medicare compliance landscape can be challenging. That’s why the ISO Claims Partners team of legal and medical experts has developed a range of efficient and accurate Medicare compliance services supported by industry data and claims analysis.

Verisk Acquires Franco Signor

 

Our new acquisition enables ISO Claims Partners to offer the most comprehensive suite of fully integrated Medicare compliance solutions and the nation’s top Medicare experts all under one roof.

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What is the relationship between Section 111 reporting and conditional payment recovery efforts?

Report Image

Section 111 reporting and Medicare’s conditional payment recovery activities are directly related. This makes it important for insurers to know what the downstream effects of providing CMS with data and information to mitigate risk while maintaining compliance. Download our report, Section 111 Reporting: Cause and Effect, to learn about how mandatory reporting directly impacts recovery efforts.

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Efficient and accurate Section 111 Reporting

Section 111 Reporting

Efficient and accurate Section 111 Reporting

MSP Navigator® is the robust Section 111 reporting solution with integrated conditional payment and Medicare Set-Aside (MSA) guidance. For carriers wishing to fully assess their compliance program, we offer a detailed auditing service.

Improve claim outcomes through data, analytics, and advocacy

Improve Claims Outcomes

With our support and insight, customers are achieving greater efficiencies, maintaining full compliance, and making better decisions. See the results for yourself!

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98% retention of contracted clients

Medicare liens

Medicare Liens

Medicare liens

Insurers can fulfill their obligations to Medicare and Medicaid while keeping an eye on costs with our range of lien services. In addition, adjusters can streamline reporting and develop an automated approach to conditional payment compliance with CP Link®.

Cost containment for Medicare future allocations

Future Allocation Services

Cost containment for Medicare future allocations

Our range of Medicare future allocations services enable insurers to determine correct Medicare Set-Aside allocations and avoid overpayment. Our expert team provides insurers proactive recommendations to mitigate costs and reach faster settlements.

$135 million in savings by eliminating cost drivers in MSAs in 2020.

Discover the latest medicare compliance and reporting insights

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CMS holds PAID Act testing webinar on September 9, 2021

Recently, CMS held a webinar to provide details on its voluntary testing period related to its implementation of the Provide Accurate Information Directly (PAID) Act.

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CMS to hold PAID Act testing webinar on September 9, 2021

The Centers for Medicare and Medicaid Services (CMS) has announced that it will be holding a PAID Act testing webinar on September 9, 2021 at 1:00 p.m.

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CMS releases Section 111 NGHP 270/271 Companion Guide (Version 5.6) - new release makes technical corrections to Version 5.5 update

The Centers for Medicare and Medicaid Services (CMS) has released an updated Section 111 NGHP 270/271 Companion Guide (Version 5.6, July 22, 2021).

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CMS discusses PAID Act implementation plans and timelines on webinar

On June 23rd, CMS held a webinar to discuss its plans to implement the PAID Act for non-group health plan (NGHP) responsible reporting entities (RREs).

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Learn more about ISO Claims Partners solutions

ISO Claims Partners helps insurers take control of claims, compliance, and costs

Iso Claims Partners

ISO Claims Partners helps insurers take control of claims, compliance, and costs

ISO Claims Partners provides a wide range of claims compliance solutions—from extensive MSP services to efficient EDI reporting—as well as proven predictive analytics that improve workers’ compensation and liability claims management.

Achieve full compliance for future medical allocations while managing expenses

Medicare Future Allocations

Achieve full compliance for future medical allocations while managing expenses

Complying with Medicare’s demands for future medical allocations requires deep knowledge of both medical and legal aspects of injury claims. ISO Claims Partners has a range of services to help you comply and expertly manage expenses.

Accurate Medicare reporting lets insurers comply with ease

Section 111 Reporting

Accurate Medicare reporting lets insurers comply with ease

Section 111 reporting requirements don’t have to weigh down your claims-handling staff. Our robust CMS reporting solution and review services enable insurers to easily fulfill their obligations to identify and report Medicare recipients in claims.

Mitigate compliance costs of Medicare and Medicaid liens

Lien Services

Mitigate compliance costs of Medicare and Medicaid liens

The ISO Claims Partners team of legal and medical experts has developed a broad range of conditional payment services regarding the U.S. Department of Treasury, Medicare Advantage, and Medicaid to facilitate seamless, worry-free compliance while reducing costs.

Complex claims and compliance costs insurers

Workers Comp

Complex claims and compliance costs insurers

Workers’ compensation insurers are challenged with managing complex claims, rising claim severity, and stringent reporting obligations. And with many experienced claims handlers nearing retirement, the challenges become even more daunting.

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  • Main Toll-Free: 1-800-888-4476

  • Global Toll-Free: International Access code, then 800 48977489
    When calling from the UK, please dial 00 800 4897 7489