Nationwide managed care since 1994 800.442.2230

Medicare Compliance

A Partner that Makes MSP Compliance & MSA Preparation Efficient and Cost Effective.

Medicare Compliance Solutions

There are many companies that offer Medicare Secondary Payer (MSP) compliance services and Medicare Set-Asides (MSAs) solutions. The challenge is finding an MSA partner that can forensically identify, intervene and address the obstacles that stall MSAs and get you to settlement. Case Management Solutions offers full MSP compliance services leveraging industry experts to include Medical, Legal and Pharmacy expertise to provide the opportunity to protect Medicare’s interest and gain claim resolution.

Medical and claims professionals

Core Compliance Services

Medicare Set-Asides and related compliance services.

Medicare Set-Aside Arrangement
Social Security Determination & Medicare Beneficiary Check
Prescription Drug Treatment Review & Intervention
Conditional Lien Research & Negotiation
Clinical Oversight Service (Post-PPR)
MSA Triage Assessment
CMS Submission
Post-Settlement Professional & Self-Administration Coordination

Need a Medicare Expert?

We are here to address your Medicare (MSP) Compliance and Managed Care questions.

Our Dynamic Operational Flow

From medical review to settlement resolution, here is how we manage compliance.

1

Analysis

A trigger-driven review of medical and pharmacy records pinpoints potential MSA exposure and recommends ways to optimize settlement within each claim’s jurisdiction requirements.

2

Intervention

Cost drivers are identified and experts analyze each case to recommend specific actionable mitigation strategies, necessary interventions, and appropriate steps needed to address issues.

3

Engagement

Whether it is monitoring the file while patients taper off medications or as medical records are updated, Case Management Solutions ensures your claims are handled effectively and efficiently.

4

Technology

A powerful proprietary software technology that can track other organizations involved in the claim and has a built in automated communication tool that can provide claims updates to clients.