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
CMS to hold NGHP Section 111 penalties webinar
CMS will be holding a Section 111 civil money penalties (CMP) webinar for (NGHPs) on January 18, 2024 at 1:00 p.m. ET.
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CMS discusses plans to capture WCMSA data points as part of TPOC reporting during recent Section 111 webinar
CMS held a webinar to discuss its plans to require Section 111 (RREs) to report data points related to WCMSAs
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CMS’s Section 111 penalties “final rule” released – breaking down CMS’s penalty provisions and how they impact Section 111 reporting
In an important development, CMS has released its Section 111 penalties “Final Rule” --- CMS penalties will go live in 60 days.
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An award-winning effort breaks new ground in medical record review
Verisk leaders earn Technology Innovation honoree status in the 2023 PC360 Insurance Luminary program for their work on Discovery Navigator
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