Skip to Main Content

Medicare Compliance and Reporting

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?

Section 111 Reporting

Section 111 Reporting

Learn more
Lien Services

Lien Services

Learn more
Future Allocation

Future Allocations

Learn more
Workers Compensation

Workers' Compensation

Learn more

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

Discovery Navigator Calculator

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

Discovery Navigator Brochure Thumbnail

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.

Download the flyer

Explore our webinars

How WCMSA Services Help you Reduce Costs and Get Claims Settled

Wcmsa

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

Medicare Part D

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 Watch List

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

Medicare 2020 Watchlist Report Cover Image

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.

Download the report

Subscribe to our newsletter and get the latest MSP compliance news!

Discover the latest insights

Waiting For Cms Teaser

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.

Read the article
Cms Releases Teaser

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).

Read the article
User Guide Teaser

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.

Read the article
Future Liability Events

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.

Read the article

Contact Us to Learn More

Other Ways to Connect

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

  • Chat Now

    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
    When calling from the UK, please dial 00 800 4897 7489

You will soon be redirected to the 3E website. If the page has not redirected, please visit the 3E site here. Please visit our newsroom to learn more about this agreement: Verisk Announces Sale of 3E Business to New Mountain Capital.