Future Allocation Solutions
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Achieve full compliance for future medical allocations while managing expenses
Achieve full compliance for future medical allocations while managing expenses
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.
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.
Nearly $160 million saved in proactive cost mitigation
Determine accurate Workers’ Comp Medicare Set-Asides
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.
Hit a Compliance Home Run with 6 Winning WCMSA Strategies
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.
Reducing WCMSAs and Getting Claims Settled
Reducing WCMSAs and Getting Claims Settled
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.
Allocation services to meet your needs
An advocacy driven approach to MSP compliance
An advocacy driven approach to MSP compliance
Verisk has the largest team of medical and legal experts dedicated to CMS compliance and accurate development of Medicare Set-Asides.
Improve MSA settlement outcomes with a proactive approach
Improve MSA settlement outcomes with a proactive approach
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.
Making Amended Review work for you
Making Amended Review work for you
Our consultative approach allows workers’ comp insurers to make the most of CMS Amended Review opportunities.
Why over-allocate? Setting aside zero dollars is an option
Why over-allocate? Setting aside zero dollars is an option
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
Provider Outreach services
Verisk will proactively evaluate treatment by leveraging our clinical/legal experts to achieve savings through:
- Record Acquisition: We’ll obtain patient records that can help reduce MSA allocations and streamline the process.
- Cost Mitigation: We will clarify treatment recommendations directly with the applicable provider and review options with the treating physician to drive down MSA costs.
Receive a full analysis to help resolve complicated medical claims
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.
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Settlement Services
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.
Learn more about casualty solutions
Accurate Medicare reporting lets insurers comply with ease
Accurate Medicare reporting lets insurers comply with ease
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.
Mitigate compliance costs of Medicare and Medicaid liens
Mitigate compliance costs of Medicare and Medicaid liens
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.
Complex claims and compliance costs insurers
Complex claims and compliance costs insurers
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.
Empowering insurers to comply fully with Medicare
Empowering insurers to comply fully with Medicare
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.