MEDICARE COMPLIANCE SOLUTIONS

There are many companies that offer Medicare Secondary Payer (MSP) compliance services and Medicare Set-Asides (MSAs) solutions. The challenge is finding an MSA partner that can forensically identify, intervene and address the obstacles that stall MSAs and get you to settlement. Case Management Solutions offers full MSP compliance services leveraging industry experts to include Medical, Legal and Pharmacy expertise to provide the opportunity to protect Medicare’s interest and gain claim resolution.

  • Medicare Set-Aside Arrangement

  • Social Security Determination & Medicare Beneficiary Check

  • Prescription Drug Treatment Review & Intervention

  • Conditional Lien Research & Negotiation

  • Clinical Oversight Service (Post-PPR)

  • MSA Triage Assessment

  • CMS Submission

ANALYSIS

ANALYSIS

A trigger driven review of medical and pharmacy records pinpoints potential MSA exposure and recommends ways to optimize settlement within each claim’s jurisdiction requirements.

INTERVENTION

INTERVENTION

Cost drivers are identified and experts analyze each case to recommend specific actionable mitigation strategies,  necessary interventions, and appropriate steps needed to address issues.

ENGAGEMENT

ENGAGEMENT

Whether it is monitoring the file while patients taper off medications or as medical records are updated, Case Management Solutions ensures your claims are handled effectively and efficiently.

TECHNOLOGY

TECHNOLOGY

A powerful proprietary software technology that can track other organizations involved in the claim and has a built in automated communication tool that can provide claims updates to clients.

QUESTIONS ABOUT CASE MANAGEMENT OR MSP COMPLIANCE?

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