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.
Conditional Payment 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.
Automate the Section 111 conditional payment process for complete MSP compliance
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.
CP Link improves results of CMS compliance
- 91% reduction in conditional payment disputes
- 97.6% success rate of conditional payment disputes when engaged
- 65% of conditional payments reduced to ZERO when dispute is engaged
- 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
Winning conditional payment disputes with CMS
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 90% of the time.
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 $975,000 on disputes with the U.S. Department of the Treasury in 2018.
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.