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Mitigate compliance costs of Medicare and Medicaid liens
Our team of legal and medical experts has developed a broad range of conditional payment dispute and appeal services regarding the U.S. Department of Treasury, Medicare Advantage Plans, and Medicaid Secondary Payer to facilitate seamless, worry-free compliance while reducing costs.
The PAID Act is now law
The PAID Act is now law
The Paid Act is now live! Learn more about what this means for conditional payments, MAPs and MAPs Part D.
Conditional Payment dispute and appeal services
Our experts can work to reduce Medicare’s demands for reimbursement of conditional payment claims. From investigating to consulting, we take a “whole claim” approach to challenging unwarranted Medicare demands.
Over the last two years, our conditional payment dispute efforts resulted in nearly
$250 million in savings.
An automated, complete MSP Compliance Program
CP Link® is integrated into your Section 111 data reporting system, and it automatically identifies Medicare beneficiaries and initiates the Medicare conditional payment compliance process. Since every claim is checked, compliance gaps are reduced to assure full CMS compliance.
Identify conditional payment exposure early in the process with CP Link
Identify conditional payment exposure early in the process with CP Link
When insurance carriers and self-insureds identify claims that qualify for conditional payment investigations before Medicare does, they can control the conditional payment process better.
CP Link streamlines investigating risk and helps eliminate exposure.
CP Link improves results of CMS compliance
- 97% reduction in conditional payment disputes
- Provides full insight/visibility (risk, efficacy, success)
- Saves time and conserves adjuster resources
- Maximizes cost mitigation
- Shifts complex and complicated processes to expert MSP personnel
Address Medicare Advantage and Part D recovery claims with ease
We offer an optional add-on service to our CP Link program that can help you take control of Medicare Advantage and Part D recovery claims. Built on our reliable approach to traditional Medicare recovery claims, this service leverages both Section 111 reporting data and the new PAID Act data to ensure that any recovery clams alleged by MAPs or Part D plans are addressed.
Complementary solutions
Better identify and respond to Treasury collection efforts
Better identify and respond to Treasury collection efforts
Insurers can rely on our team of experts that includes former Treasury workers and attorneys to manage demands and fight to mitigate exposure.
Navigate the complex world of MAPs
Navigate the complex world of MAPs
Let our experts continually monitor legal precedent in Medicare Advantage Plan cases to provide the most strategic path for your business.
Stay ahead of changing Medicaid regulations
Stay ahead of changing Medicaid regulations
Protect your bottom line while staying compliant with Medicaid recovery changes. Automated compliance options are also available for Medi-Cal in California.
Medicaid Recovery: Five things you need to know
Medicaid Recovery: Five things you need to know
Insurers have been meeting the challenges of Medicare Secondary Payer (MSP) compliance for a while, but increasingly the demands of the other M”—Medicaid—also need attention. Read this detailed article to learn the full scope of advancements in Medicaid recovery, and learn what this means for your organization.
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Medicare Advantage Plan Recovery Rights: What you need to know right now
Medicare Advantage Plan Recovery Rights: What you need to know right now
Now is the time to proactively address Medicare Advantage liens to mitigate risk. Download the report to get insights on trends driving MAP recovery and tips on protecting your clients’ interests.
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Achieve full compliance for future allocations while managing expenses
Achieve full compliance for future allocations while managing expenses
Complying with Medicare’s demands for future allocations requires deep knowledge of both medical and legal aspects of injury claims. We have a range of services to help you comply and expertly manage expenses.
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.
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 the ISO Claims Partners team of legal and medical experts has developed a range of efficient and accurate Medicare compliance services supported by industry data and claims analysis.