Avoid unexpectedly high medicare set aside agreements
Higher-than-expected CMS MSA approval amounts can complicate claim settlements, leading to increased costs for insurers. New medical evidence or other changes can make CMS's approved MSA amounts inaccurate and unrealistic. Verisk's expert consultants are here to help by identifying cost drivers early, reducing the cost of Medicare Set-Aside agreements and ensuring smoother settlements.
Navigate the Amended Review process and reduce allocation costs
Parties have an opportunity to submit a new MSA proposal to CMS to help reduce MSA costs and settle claims faster and with better outcomes.
Expert guidance on submitting MSA proposals
Our team can help you submit new MSA proposals for consideration regarding unsettled claims that meet CMS’s Amended Review criteria.
Lower your MSA costs
Amended Review can help reduce MSA allocation costs to optimize claim settlement.
Easily identify qualifying cases
Our experienced MSA team helps determine if your case meets CMS’s Amended Review criteria to achieve a reduced MSA amount, allowing you to get the case back on the settlement track and close out more claims.
Why choose MSA Second Look?
Let Verisk’s experienced MSA allocation team help you navigate Amended Review’s nuanced criteria to determine if the case qualifies for the process and the best time to submit a new MSA proposal to CMS to help secure a lower MSA approval.
Why choose MSA Second Look?
Proactive intervention in Medicare claims settlement
Customized approach
Our dedicated legal and nursing team analyzes and creates a customized plan to help strategically reduce MSA cost-drivers.
Qualification analysis
Get an analysis of whether the claim qualifies for an Amended Review. We can help create the roadmap for proactive intervention to reduce costs and obtain CMS approval.
Side-by-side comparison
Get a detailed review of the claimant’s current medical treatment and recommendations to help formulate a realistic MSA allocation projection of future medical needs based on current medical evidence and related circumstances.
Related resources
Stay in the know about important industry trends and innovative solutions.
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Making Amended Review work for you
Don’t let old MSA approvals get in the way of settlement. Having a process to quickly identify when a claim is appropriate for Amended Review can be the key to successful claim closure.
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CMS releases the WCMSA Reference Guide Version 3.9
Do more with the Verisk ecosystem
MSA Second Look is part of our full suite of claims solutions that provide compliance, reporting, and decision support tools and services.
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.
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.
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.
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.
Contact us to learn more
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