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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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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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.

Shift your MSP compliance into high gear

Shift Your Msp Compliance

Discover how integrating Section 111 reporting with conditional payments can help drive compliance, fuel cost savings, and fast-track settlements.

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99.95% of Section 111 claims reported with zero errors

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

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.

$54 million in savings by eliminating cost drivers in MSAs in 2019.

Discover the latest medicare compliance and reporting insights

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CMS releases new NGHP Section 111 User Guide (Version 6.2, January 11, 2021)

CMS has released an updated Section 111 NGHP User Guide (Version 6.2, January 11, 2021) regarding non-group health plans (liability, no-fault, and workers’ compensation).…

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The PAID Act is now law

In a major development on the Medicare Secondary Payer (MSP) compliance front, on December 11th, President Trump signed into law the Provide Accurate Information Directly…

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LMSA update: CMS’s “future medicals” proposals now scheduled for release in March 2021 | New LMSA case decision highlights continuing claims challenges

LMSA update: OIRA has issued an updated noticing indicating CMS’s “future medical” proposals are delayed again and projected for release in March 2021.

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The PAID Act is now law

On 12/11, the PAID Act became law. It requires CMS expand its Section 111 Query Process to identify whether a claimant is currently entitled to, or during the preceding…

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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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Other Ways to Connect

We are available Monday through Friday, 7 a.m. — 9 p.m. US Eastern Time:

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    Note that password resets and user information are not available through Live Chat or Email. Instead, please call the main toll-free number below.

  • Main Toll-Free: 1-800-888-4476

  • Global Toll-Free: International Access code, then 800 48977489