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Mitigate compliance costs of Medicare and Medicaid liens

The ISO Claims Partners 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.

Verisk Acquires Franco Signor

 

Our new acquisition enables ISO Claims Partners to offer the most comprehensive suite of fully integrated Medicare compliance solutions and the nation’s top Medicare experts all under one roof.

Read the press release 

Conditional Payment Services

Conditional Payment

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.

In 2020, our conditional payment dispute efforts resulted in nearly $150 million in savings.

Automate the Section 111 conditional payment process for complete MSP compliance

Section 111 Process

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

Cp Link

Identify conditional payment exposure early in the process

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

Cp Link Icon
  • 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

97% average reduction in conditional payment disputes, when a dispute is engaged

Winning conditional payment disputes with CMS

Winning Cp Icon

Since CP Link identifies all potential Medicare recovery exposure, there’s a tremendous opportunity to mitigate or eliminate these expenditures. Through CP Link, ISO Claims Partners challenges all charges that have a basis to be disputed or appealed, and we achieve reductions in conditional payments more than 91% of the time.

In 70 percent of disputes, conditional payments are reduced to zero.

Us Department Of Treasury

U.S. Department of Treasury Services

Insurers can better identify and respond to U.S. Treasury collection efforts when partnered with the legal and medical experts at ISO Claims Partners. We’ll manage demands and fight to mitigate your exposure. Clients saved nearly $1 million on disputes with the U.S. Department of the Treasury in 2020.

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Medicare

Medicare Advantage Plan (MAP) Services

Insurers can better navigate the complex world of Medicare Advantage Plans with help from ISO Claims Partners. Our experts continually monitor legal precedent in Medicare Advantage Plan cases to provide the most strategic path for your business.

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In 2020, our conditional payment dispute efforts yielded in nearly $150 million in savings.

Medicaid Compliance Services

Medicaid Secondary Payer

Medicaid Compliance Services

Protect your bottom line while staying compliant with Medicaid recovery changes. Automated compliance options available for Medi-Cal in California.

Medicaid Recovery: Five things you need to know

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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ISO Claims Partners helps insurers take control of claims, compliance, and costs

Iso Claims Partners

ISO Claims Partners helps insurers take control of claims, compliance, and costs

ISO Claims Partners provides a wide range of claims compliance solutions—from extensive MSP services to efficient EDI reporting—as well as proven predictive analytics that improve workers’ compensation and liability claims management.

Achieve full compliance for future medical allocations while managing expenses

Medicare Future Allocations

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. ISO Claims Partners has a range of services to help you comply and expertly manage expenses.

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.

Empowering insurers to comply fully with Medicare

Medicare Compliance

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.

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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

  • Refer a File

    We offer easy access via our online form but can accommodate e-mail, fax, mail, or arrange a pickup from your office. Contact your local ISO Claims Partners sales representative or e-mail us at referrals@iso.com.

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