Keep up with Medicare compliance and achieve accurate, timely reporting
Build comprehensive, holistic Medicare reporting solutions. Help reduce your exposure to risk and enhance adherence to Medicare compliance with our extensive suite of leading tools and expert services for Section 111 mandatory reporting, Medicare conditional payment resolution, and future medical allocations compliance.
Keep up with Medicare compliance and achieve accurate, timely reporting
Section 111 mandatory reporting solutions
Easily meet your reporting obligations while laying the groundwork for a strong program to address MSP compliance with a holistic approach using our robust CMS reporting solution and review services. Leverage our expertise and data-driven insights to prepare accurate submissions in less time and streamline your compliance process.
Streamline Section 111 reporting
Proactively handle compliance and ensure error-free submissions to CMS with advanced analytical and smart reporting capabilities.
Conditional payment lien resolution solutions
Depend on our experts to challenge inappropriate or unrelated Medicare demands, preventing overpayment of conditional payment liens and reducing risk of Treasury collections.
Overcome MSP compliance limitations
Reduce risk and achieve full MSP compliance by streamlining payment process.
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.
Avoid collections and resolve Treasury claims
Work with a team of conditional payment experts to avoid U.S. Treasury Department collections and resolve any Treasury claims and offsets that arise.
Medicaid compliance and recovery services
Protect your bottom line and ensure full Medicaid compliance with recovery claims. Trust our experts to help resolve Medicaid recovery claims in any state.
Future allocation solutions
You can cut costs, optimize settlements, and stay compliant working with a CMS compliance team and nurse practitioners who accurately determine future medical costs.
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.
Get the most accurate estimate of claim exposure
Leverage our nurses’ vast clinical and insurance experience to accurately assess future medical cost exposure for reserves and settlement analysis.
Discover Verisk's robust claim insights and compliance support
Our proven compliance solutions empower your team.
Discover Verisk's robust claim insights and compliance support
Related resources
Stay up to date on the latest news and developments in the fast-changing world of Medicare.
Resources
Navigate Section 111 Penalties 'Final Rule’ with Confidence
Medicare 2025 Watch List Navigating a New Medicare Compliance Landscape
Download the Medicare 2025 Watch List report and get a deep dive into the recent CMS updates and what to expect in the year ahead.
Article
CMS’s Section 111 Penalties “Final Rule” Released – Breaking Down CMS’s Penalty Provisions and How They Impact Section 111 Reporting
Do more with the Verisk ecosystem
Streamline claims handling with our full suite of solutions that provide compliance, reporting, and decision support tools and services.
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.
Improve injury claims outcomes
Achieve consistent and accurate injury evaluations with data-driven insights for fast, fair, and cost-effective resolutions.
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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