Reduce MSA costs with proactive and targeted cost mitigation strategies
Identifying Medicare Set-Aside cost-drivers early in the claims process is the key to reducing MSA allocation costs and maintaining Medicare Secondary Payer compliance. Proactively minimize MSA costs and settle claims through targeted cost mitigation strategies. Let our team of experts handle crucial, time-consuming tasks on your behalf through a strategic approach.
Navigate the MSA claims and allocation process with confidence
With Verisk as your MSA partner, you have a specialized and experienced team consisting of attorneys, nurses, former insurance adjusters, and several other specialties with extensive experience in all aspects of the Medicare Set-Aside process. Our team meticulously reviews all CMS decisions for accuracy, identifies trends, and seeks opportunities to challenge MSA adjustments.
Lowest defensible MSAs
Get the lowest defensible MSA by leveraging Verisk’s two decades of experience in navigating continuous CMS updates and trends and implementing successful cost-mitigation strategies.
Advocacy for you
Our MSA team meticulously reviews all CMS decisions, analyzing them for accuracy, identifying trends, and seeking opportunities to challenge MSA adjustments and policies.
Continuous quality improvement
We’re committed to improving our processes to ensure the latest CMS trends and resources are applied to allocation practices, incorporating Medicare coverage guidelines, fee schedules, and treatment guidelines.
Helping you achieve full Medicare compliance
Our team of Medicare compliance experts are here to help you only pay what you owe for Medicare Set Aside allocations. See the full spectrum of services Verisk delivers with a proven medical and legal approach to reduce your future medical expense exposure.
Helping you achieve full Medicare compliance
An expert, strategic approach to MSA claim resolution
Experienced and proven leaders
Our specialized MSA team creates set-asides while identifying issues, so you pay only what is necessary.
Claim-specific analysis
Get a full-scale report, review, and settlement language to submit your MSAs.
Monitoring CMS trends and updates
Our quality assurance team continually monitors CMS updates and trends to apply to your MSA allocations and submissions.
Additional allocation services to meet your MSA challenges
Pre-MSA
Improve MSA settlement outcomes by receiving a snapshot of potential MSA cost drivers to intervene before the full spend.
Zero MSA allocation
If a “zero MSA” is appropriate based on the medical and/or legal facts of the case, our experienced legal team prepares case-specific arguments and are prepared to defend them before CMS.
CMS submissions
Get support from our experienced team in submitting WCMSAs to CMS and challenging CMS decisions when necessary.
Cost-mitigation solution
Leverage our industry-leading clinical, medical, and legal approach to achieve MSA savings through experience, advocacy, and analytics.
MSA Link
A customizable, automated solution that uses S.111 data to initiate the MSA allocation process, based on client specific protocols.
Data-Driven MSA
A fully automated solution that leverages Verisk’s medical, legal, and data science expertise to provide a quick, accurate, and cost-effective allocation in response to CMS’ WCMSA TPOC reporting requirements.
Indemnified EBMSA
Designed to bridge the risk for claimants and insurers that choose to bypass submitting an MSA to CMS for review and approval.
Related resources
Stay in the know about important industry trends and innovative solutions.
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How Verisk’s WCMSA Services Help Reduce Costs and Get Claims Settled
When it comes to reducing MSAs, the best defense is a good offense! Learn how Verisk’s suite of MSA services and cost-mitigation strategies provides workers’ compensation insurers with the help that they need to get costs under control and claims settled.
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An advocacy-driven approach to Medicare Secondary Payer compliance
Medicare Secondary Payer (MSP) compliance calls for a combined medical and legal approach to identify issues and make sure you pay only for what is necessary—and nothing more. Verisk is your advocate. We help ensure an equitable and fair resolution for every claim. We analyze each case and design an MSA that fits your situation.
Do more with the Verisk ecosystem
MSA Allocation is part of our full suite of claims solutions that provide compliance, reporting, and decision support tools and services.
Address Medicare compliance obligations to reduce risk
Comply with CMS and avoid costly penalties. Our Medicare compliance and reporting solutions provide the key information you need to mitigate risk.
Make Amended Review work for you
Maximize your one chance at obtaining an Amended Review from CMS—and gain savings for eligible claims.
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.
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.
Conquer complex workers' compensation claims challenges
Streamline workers' comp data reporting and improve compliance with advanced analytics.
Contact us to learn more
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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.