Identifying Medicare conditional payment claims early in the claims cycle
Traditional, ad-hoc approaches to managing Medicare conditional payments can lead to missed cost mitigation opportunities and delays. CP Link addresses these issues by leveraging Section 111 data to identify conditional payments earlier in the claims process. By automating compliance handling, CP Link accelerates recovery, reduces costs, and enhances your compliance program’s effectiveness.
CP Link elevates your healthcare compliance program
Enhance program efficiencies and streamline Medicare recovery claims by leveraging Section 111 data for a more integrated and efficient process. This unique service automatically identifies compliance issues, ensuring timely handling of Medicare conditional payments and shortening a claim's lifecycle.
Proactive compliance strategy
CP Link utilizes Section 111 reporting data to proactively initiate the conditional payment process early in the claims cycle.
Save time and resources
Free up your adjuster resources by eliminating individual referrals for service.
Mitigate costs and boost your bottom line
Prevent further exposure and successfully dispute payments with reductions 98% of the time.
Address Medicare Advantage Plan and Part D recovery claims
Proactively manage MAPs and Part D recovery claims with CP Link’s PAID Act add-on, which utilizes the latest enhancements to CMS’s query process.
Address Medicare Advantage Plan and Part D recovery claims
Features and capabilities
Integrate and automate
Streamline addressing conditional payments with seamless integration of existing Section 111 reporting with your conditional payment resolution program.
Streamline compliance management
By integrating your Section 111 reporting data as part of the conditional payment recovery process, we can help you stay consistent with what you report to Medicare and how you address conditional payments claims.
Manage time and resources
Accelerate claim resolutions and free up your adjuster’s schedule with instant identification of claims appropriate for conditional payments and elimination of individual referrals for services.
Mitigate costs
Boost your bottom line and prevent further exposure with automatic payment disputes that successfully result in reductions 98% of the time, with 65% of those disputes resulting in a zero-dollar payment.
Related resources
Learn more about how to improve your MSP compliance processes.
Flyer
Only pay what you owe
Gain a strong advocate in Medicare disputes to eliminate risk and exposure.
Flyer
Meeting treasury claims and offsets
We have vast experience in dealing with Treasury claims and offsets. In addition, our G2G program can help you identify Treasury claims through a holistic compliance approach, achieving an average savings of 86% on Treasury requests.
Flyer
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.
Flyer
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.
Do more with the Verisk ecosystem
CP Link is part of our full suite of claims solutions that provide compliance, reporting, and decision support tools and services.
Slash time and spend with AI-powered record review
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.
Conquer complex workers' compensation claims challenges
Streamline workers' comp data reporting and improve compliance with advanced analytics.
Master workers' compensation data compliance reporting for insurers
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.
Identify severity faster with predictive analytics
Leverage AI and predictive analytics to quickly determine claim severity, improve triage, and control costs throughout the claims cycle.
Streamline Section 111 reporting
Proactively handle compliance and ensure error-free submissions to CMS with advanced analytical and smart reporting capabilities.
Comply with Medicare's requirements with confidence
Improve your Medicare compliance for future medical allocations while managing expenses with an advocacy-driven approach.
Build a cost-mitigation strategy
Leverage our industry-leading clinical and legal expertise to achieve MSA savings through experience, advocacy, and innovation.
Make Amended Review work for you
Maximize your one chance at obtaining an Amended Review from CMS—and gain savings for eligible claims.
Pay only what you owe for Medicare conditional payments
Eliminate risk and exposure while ensuring resolution of more claims with a comprehensive, advocate-driven approach to conditional payment disputes.
Contact us to learn more
We are available Monday through Friday, 7 a.m. — 8 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 sales representative or e-mail us at referrals@verisk.com.