Evidence-based Medicare Set Aside amounts
Many insurers lack the resources and clinical/legal expertise to objectively analyze necessary medical treatments and obtain critical patient information. This can result in setting aside more funds than necessary, increasing long-term costs. Verisk can help you develop strategies to effectively reduce Medicare Set-Aside amounts. Our team of clinical and legal experts can guide you in obtaining the proper documentation for CMS approval and gather medical records, allowing your adjusters to focus on settling claims faster.
Reduce costs with MSA cost-mitigation strategies
We meticulously apply our industry-leading clinical and legal experience to each MSA assignment, helping you take a proactive and aggressive approach to treatment assessments.
Customized cost reduction strategies
Our team reviews and identifies cost drivers to recommend cost reduction strategies for every MSA service.
Expert guidance on documentation needed for CMS approval
Get missing medical records and clarified surgery recommendations to cut allocation. Our team proactively secures critical information needed for MSA reduction and CMS approval.
Medical record procurement
Obtaining updated medical records or clarifications from the claimant’s treating physician can play an integral role in reducing MSAs. Verisk takes this time-consuming task off the adjuster’s desk and gathers the necessary information to reduce MSA amounts at minimal cost.
Features and capabilities
Save adjuster time with our Record Acquisition service
Our team will contact treating providers on your behalf to obtain records, which our nurse specialists then review and analyze to provide your adjuster with a detailed analysis and action plan. Get the information you need for lower allocations and faster settlements.
Drive down MSA costs with a comprehensive treatment picture
Our cost mitigation team contacts the claimant’s medical provider(s) to obtain or clarify treatment information, recommended or referenced treatment options, and a more accurate view of the current treatment plan to uncover known MSA cost drivers.
Related resources
Access the latest resources, FAQs, and webinars in our resource center to learn more about our Provider Outreach services.
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Get expert advice
Hear from our experts how you can mitigate costs with our Provider Outreach Services.
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Improve MSA outcomes
Learn more about improving MSA settlement outcomes with a proactive approach
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Get your questions answered
Get your questions answered about our Pre-MSA and Cost Mitigation Provider Outreach service
Do more with the Verisk ecosystem
Our Provider Outreach Service is a 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.
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.
Overcome MSP compliance limitations
Reduce risk and achieve full MSP compliance by streamlining payment process.
Streamline Section 111 reporting
Proactively handle compliance and ensure error-free submissions to CMS with advanced analytical and smart reporting capabilities.
Conquer complex workers' compensation claims challenges
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