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Future Allocation Solutions

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.

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.

Medicare 2022 Watch List: Get on Top of this Year’s Big Issues

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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

Nearly $160 million saved in proactive cost mitigation

Determine accurate Workers’ Comp Medicare Set-Asides

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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

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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.

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Reducing WCMSAs and Getting Claims Settled

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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

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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

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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

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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

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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

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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.
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Receive a full analysis to help resolve complicated medical claims

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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

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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

Section 111 Reporting

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

Lien Services

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

Workers Comp

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

Medicare Compliance Reporting

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.

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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

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