Build comprehensive, holistic solutions to help reduce your exposure with our extensive suite of leading tools and expert services for Section 111 reporting, Medicare conditional payment resolution, and future medical allocations compliance.
Easily meet your reporting obligations while laying the groundwork for a strong program to address MSP compliance with a holistic approach using our robust CMS reporting solution and review services.
Proactively handle compliance and ensure error-free submissions to CMS with advanced analytical and smart reporting capabilities.
Depend on our experts to challenge inappropriate or unrelated Medicare demands, preventing overpayment of conditional payment liens and reducing risk of Treasury collections.
Reduce MSP risk and achieve full compliance by streamlining the conditional payment process.
Eliminate risk and exposure while ensuring resolution of more claims with a comprehensive, advocate-driven approach to Medicare disputes.
Work with a team of conditional payment experts to avoid U.S. Treasury Department collections and resolve any Treasury claims and offsets that arise.
Protect your bottom line and stay compliant with Medicaid recovery claims. Trust our experts to help resolve Medicaid recovery claims in any state.
You can cut costs, optimize settlements, and stay compliant working with a CMS compliance team and nurse practitioners who accurately determine future medical costs.
Improve your Medicare compliance for future medical allocations while managing expenses with an advocacy-driven approach.
Leverage our industry-leading clinical and legal expertise to achieve MSA savings through experience, advocacy, and innovation.
Maximize your one chance at obtaining an Amended Review from CMS—and gain savings for eligible claims.
Leverage our nurses’ vast clinical and insurance experience to accurately assess future medical cost exposure for reserves and settlement analysis.
Our proven compliance solutions empower your team.
Streamline claims handling with our full suite of solutions that provide compliance, reporting, and decision support tools and services.
Streamline workers' comp data reporting and improve compliance with advanced analytics.
Streamline and simplify workers' comp regulatory reporting with a single daily data feed. Insurers save time and improve accuracy with our suite of compliance reporting solutions.
Leverage AI and predictive analytics to quickly determine claim severity, improve triage, and control costs throughout the claims cycle.
Achieve consistent and accurate injury evaluations with data-driven insights for fast, fair, and cost-effective resolutions.
Expedite record review with fast, accurate extraction of key medical information from unstructured documents. AI automation tools deliver accurate, impartial reviews of every file, helping you settle more claims while conserving time and resources.