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.
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.
Our team can help you submit new MSA proposals for consideration regarding unsettled claims that meet CMS’s Amended Review criteria.
Amended Review can help reduce MSA allocation costs to optimize claim settlement.
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.
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.
Our dedicated legal and nursing team analyzes and creates a customized plan to help strategically reduce MSA cost-drivers.
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.
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.
MSA Second Look is part of our full suite of claims solutions that provide compliance, reporting, and decision support tools and services.
Improve your Medicare compliance for future medical allocations while managing expenses with an advocacy-driven approach.
Leverage our industry-leading clinical and legal expertise to achieve MSA savings through experience, advocacy, and innovation.
Comply with CMS and avoid costly penalties. Our Medicare compliance and reporting solutions provide the key information you need to mitigate risk.
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.
Leverage AI and predictive analytics to quickly determine claim severity, improve triage, and control costs throughout the claims cycle.
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.