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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 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, we challenge 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.

Innovative solutions across lines of business

Pay what you owe – and nothing more

Conditional Payments

Pay what you owe – and nothing more

Challenge and reduce Medicare’s demands for reimbursement of conditional payment claims by bringing a medical and legal approach to investigating, negotiating, and resolving Medicare liens.

Take advantage of the PAID Act

Cp Link Paid Act Add On Component

Take advantage of the PAID Act

Develop a proactive strategy to address MAP and Part D recovery claims by linking Section 111 and PAID Act data to our team of recovery experts.

Better identify and respond to Treasury collection efforts

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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

Medicare Advantage Services

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

Medicaid Secondary Payer

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.

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

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.

For more Verisk claims solutions, check out:

Achieve full compliance for future allocations while managing expenses

Medicare Future Allocations

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. 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.

Contact Us to Learn More

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.

    Visit our referral site