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Medicare & Medicaid Compliance Professionals

Commercial Repayment Center     ¦     Conditional Payments     ¦     Medicare Set Asides     ¦     Section 111 Reporting     ¦     Medicaid     ¦     MAP Lien Resolution

 The Commercial Repayment Center

Learn how Medicare will use your Section 111 Reporting to recover on Conditional Payments they have made.

Why P&C Compliance is Different

 Learn why Medicare compliance for P&C carriers is different than compliance for workers’ comp.

Medicare Resolution Client Results

Flagship works with clients to achieve amazing ROI, like reducing Medicare’s request for reimbursement by 67%.

A Premier Medicare Compliance Service Provider

 

Compliance with ever-changing Medicare regulations is an increasingly important issue for the P&C industry. Although Medicare claims generally account for a relatively small percentage of personal injury claims, the headaches, risks and penalties for non-compliance are disproportionately large.

As Medicare’s financial challenges have worsened, so has Medicare’s urgency to transfer more of its public obligations to the private sector. Flagship’s client compliance is focused on reducing Medicare’s reimbursement “liens” to the lowest defensible amount…and not a penny more! In so doing we save our clients millions in annual Medicare reimbursements.

 

FIND OUT HOW OUR MEDICARE CONDITIONAL PAYMENTS RESOLUTION COMPLIANCE PROGRAM DELIVERED 325% ROI

Flagship Services Group

Flagship Services GroupFlagship Services Group is the premier Medicare compliance company for Property & Casualty insurers. In the Medicare arena of complex and convoluted Federal regulations, Flagship’s exclusive focus provides cost effective, client specific solutions to a time consuming process that is error-prone and disruptive to the internal claims management process. Flagship is the only Medicare compliance services company that guarantees 100% compliance, at zero net cost.

Flagship handles all Medicare files, from end to end, to ensure client’s interests are protected every step of the way. This approach reduces cycle times, paid costs and reserve requirements, and removes the risk of penalties. Our teams of medical, legal and claim professionals deliver superior results.

Flagship: Services That Save

A brief summary of Flagship’s comprehensive Medicare compliance services follows:

  • Conditional Repayment Center 
    Flagship has been reviewing and disputing CPNs for several years. We have a proven process to work with Medicare and are here to help you overcome pending challenges.
  • Conditional Payment (CP) Management
    Flagship’s end-to-end process takes Conditional Payments off the adjusters desks, and reduces reimbursement costs.
  • Medicare Set-Asides (MSAs)
    Flagship provides complete MSA creation and submission services, including MSA alternatives where appropriate. We take a consultative approach in determining the necessity of an MSA.
  • Section 111 Reporting
    Flagship has a dedicated, fully integrated IT infrastructure to handle every aspect of Medicare querying and reporting. Client integration is fast, easy and inexpensive.
  • Medicare Risk Review (MRR)
    An analysis of processing procedures, potential savings and any non-compliance issues, excessive payments or penalty exposure.
  • Medicare Essentials Training
    Brief but comprehensive training for claim professionals. Provides perspective and insights on the importance of accurate and timely Medicare claims processing, plus “how to” best practices.
  • Account Management
    Experienced, professional Account Manager and Operations Team; key metrics reports on each file status; trusted Medicare compliance advisor to respond to claim related questions.

  • A Closer Look at Proposed Section 111 CMPs: Poor Quality of Reported Data (3/31/2020) - There is a season for every purpose.  Are you reporting as required?  Is your reporting data accurate?  Do the errors matter?  What is your error tolerance level today, and what are its historical tendencies?  Is your data transparent and timely?  When do repayment and reporting intersect?  Who can reliably audit your current compliance level to […]
  • A Closer Look at Proposed Civil Monetary Penalties: Registering and Reporting (3/20/2020) - In the first of a three (3) part series, we will take a closer look at each of the key pillars in the new proposed rules, starting with Failing to Register and Report.  The final two (2) parts will cover Poor Quality of Reported Data, and Recovery Information Contradicting Reporting.
  • Good Things Take Time, as They Should (2/28/2020) - Legendary college basketball coach John Wooden led UCLA to 10 men’s national championships in 12 years, from 1964 to 1975. But, becoming a champion did not happen overnight. Coach Wooden’s coaching career started in 1946 at Indiana State, and then he spent 15 winning seasons at UCLA before he coached the first championship team. His path to the top, and staying there, was not easy, quick or cheap. Out of the madness of March tournament basketball springs much needed perspective on the highly-anticipated and newly-unveiled Section 111 proposed reporting rules…and where we go from here.

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