Navigating the complex and ever-changing Medicare compliance landscape can be challenging. That’s why our team of legal and medical experts has developed a range of efficient and accurate Medicare compliance services supported by industry data and claims analysis.
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.
For a superior compliance program and data-driven claims insights, talk to Verisk today.
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.
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.
With the ever-changing world of Medicare compliance, it’s never been more important to have a winning game plan ready. Verisk has a new guide to what works and how to set up your own successful WCMSA approach.
98% retention of contracted clients
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®.
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.
Nearly $160 million saved in proactive cost mitigation
Watch our expert panel as they unpack services that can help improve your Medicare compliance practices.
CMS held a webinar to discuss the Medicare Secondary Payer Recovery Portal’s (MSPRP’s) “Go Paperless” function.Read the article
The Centers for Medicare and Medicaid Services (CMS) has announced that it will be holding a webinar on April 13, 2022 at 1:00 p.m. EST.Read the article
The OIRA website indicates that CMS’s long-awaited S111 CMP “final rule” and their “Future Medicals” proposals are completed and are now pending OIRA review for release.Read the article
On February 17, 2022 the Centers for Medicare and Medicaid Services (CMS) held a webinar session to address workers’ compensation Medicare set-aside (WCMSA) issues.Read the article
Complying with Medicare’s demands for future medical allocations requires deep knowledge of both medical and legal aspects of injury claims. We have a range of services to help you comply and expertly manage expenses.
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.
Our 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.
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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