Complying with Medicare’s demands for future medical allocations requires deep knowledge of both medical and legal aspects of injury claims. Verisk has a range of services to help you comply and expertly manage expenses.
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.
Nearly $160 million saved in proactive cost mitigation
When it comes to determining a workers’ compensation claimant’s future medical costs, accuracy is key to successful CMS compliance. Insurers also need to protect their interests by ensuring that CMS demands align with injuries related to the claim. We offer a wide range of allocation services to help achieve both compliance goals.
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.
You often have more power than you think when it comes to reducing allocation costs. This session will help show how to reduce WCMSA costs and get claims settled.
Verisk has the largest team of medical and legal experts dedicated to CMS compliance and accurate development of Medicare Set-Asides.
Workers’ compensation insurers can receive a snapshot of potential MSA cost drivers, providing them with the opportunity to intervene before the full spend of the MSA.
Our consultative approach allows workers’ comp insurers to make the most of CMS Amended Review opportunities.
If a “zero MSA” is appropriate based on the medical and/or legal facts of the case, our experienced legal team prepares case-specific arguments and stand ready to defend them before CMS.
2021 CMS Rebuttal savings = $5 million
Verisk will proactively evaluate treatment by leveraging our clinical/legal experts to achieve savings through:
We give you peace of mind when it comes to settling medical damages. Our Liability Nurse Review unravels complicated medical claims and provides analysis to assist against excessive damages. Depending on the program that you choose you’ll get either a snapshot or a full review of records from one of our experienced Registered Nurses.
Our team of medical and legal experts can remove obstacles to closing complex claims. We’ll help identify a book of claims to tackle, coordinate settlement conferences, and expedite preparation of MSAs or conditional payments. You’ll achieve large-scale claims resolution from a concentrated, time-efficient effort.
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.
Navigating the complex and ever-changing Medicare compliance landscape can be challenging. That’s why we have developed a range of efficient and accurate Medicare compliance services supported by industry data and claims analysis.
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