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 2022 Watch List: Get on Top of this Year’s Big Issues
From Section 111 updates to implications of the PAID Act going live to new MSA trends, insurers are facing formidable MSP challenges on many fronts in 2022. Prepare for the year ahead by downloading our report, Medicare 2022 Watch list: Getting on Top of this Year’s Big Issues.
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Discover the latest insights
Waiting for CMS’s Section 111 penalties “final rule” – status, updates, and what’s next
Presently, the industry is waiting for CMS to release its Section 111 CMPs “final rule” to the public.
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CMS releases updated Medicare Secondary Payer Recovery Portal (MSPRP) User Guide (Version 5.6) – Updates to Open Debt Report, Compromise Requests, and Go Paperless notifications
The Centers for Medicare and Medicaid Services (CMS) has released an updated Medicare Secondary Payer Recovery Portal (MSPRP) User Guide Version 5.6 (January 9, 2023).
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CMS releases Section 111 NGHP User Guide (Version 7.0, January 9, 2023) – CMS announces several new updates to kick off 2023
The (CMS) has released an updated Section 111 NGHP User Guide (Version 7.0, January 9, 2023) regarding Section 111 reporting related to non-group health plans.
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CMS releases request for proposal for the Workers’ Compensation Review Contractor (WCRC) contract
On January 4, 2023, the Centers for Medicare and Medicaid Services (CMS) issued an RFP for its Workers’ Compensation Review Contractor (WCRC) contract.
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