Gina Cox No Comments

It’s Time for P&C Insurers to Learn Medicare’s Secondary Payer Rights

wc_annual-1The 23rd annual National Workers’ Compensation and Disability Conference was held on November 19-21, 2014.  The biggest event of its kind, this year’s conference enjoyed a record breaking attendance for the fifth year in a row.

On Thursday, November 20, at 8:30 am, a breakout session was held that really piqued our interest here at Flagship Services Group: Workers’ Compensation and its Secondary Payers: Medicare and Medicaid.  The presentation was led by Vernon Sumwalt and Tim Nay, both attorneys with years of experience in workers’ compensation (in Sumwalt’s case) and Medicare Second Payer Compliance (in Nay’s case.)  The discussion was moderated by Jennifer C. Jordan of MEDVAL, LLC., a nationally recognized expert in Medicare compliance.

The key takeaway from the discussion had to do with the new laws that have been enacted by Congress, and are set to go into effect in October of 2016, which will essentially make Medicaid very similar to Medicare in both the reporting and recovery aspects of its role as secondary payer.

While the discussion centered primarily around how this affects workers’ compensation claims, the same principles apply equally well to the personal injury side of the picture that we specialize in.  

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Gina Cox No Comments

Flagship Welcomes Harrison Ryder as Vice President of Sales

Harrison_Ryder_11_(133x200)We’re thrilled to have a new member of the executive team joining us this month: R. Harrison Ryder, III, our new Vice President of Sales.
Harrison comes to us with a wealth of knowledge and experience in sales that spans many different industries and disciplines, including legal, IT, management consulting, and healthcare.  The bulk of his career experience, including well over $50 million in aggregate sales, has been in working with C-level executives using a consultative sales approach that meshes beautifully with how Flagship Services Group approaches selling our own services.
“What drew me to Flagship was the opportunity to work with a group of bright and talented individuals in a growth market, and for a young company that is positioned to capture significant market share,” said Harrison.
Most recently, Harrison served as Vice President of Sales at the David Corporation, a California-based provider of risk management software solutions to the alternative risk and specialty P&C markets. He’s well versed in the compliance side of our target market, and knows how to relate directly to the decision makers in P&C insurance companies that can benefit most from what Flagship has to offer.

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Gina Cox No Comments

Need to Resolve a Medicare Lien? Start With These 3 Steps

medicare compliance

Resolving a Medicare lien can be costlier and more time consuming than most other claims of similar value and complexity. Part of the reason for this is the relative rarity with which your claims adjusters process these claims. Part of it comes from the fact that Medicare regulations are constantly evolving. And, of course, the intricacies of properly reporting and filing these claims simply take a long time to complete.

We’ve established a simple, three step process for effectively resolving Medicare liens – and really, handling all Medicare compliance issues your company is faced with – quickly and efficiently.

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3 Reasons to Hire a Medicare Compliance Service Provider

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Maintaining compliance with Medicare rules and regulations can be compared to marketing a small business: you could do it yourself, and you might have some success, but if you hire a professional, you’ll have more time, better results, and your savings will be significantly higher.

The hidden internal costs of DIY compliance

As a P&C insurance organization, your company employs dozens – perhaps hundreds – of claims adjusters who deal with a huge volume of claims over the course of a month. Only about 17% of those claims involve Medicare beneficiaries and only a portion of those claims fit the requirements for Section 111 reporting and repayment of conditional payments. Read more

Gina Cox No Comments

Changes to Watch for in Section 111 This Year

tumblr_myebwtELvb1st5lhmo1_1280Every few months a new change – major or minor – rocks the Medicare compliance industry, leaving many insurers scrambling to keep up. These constant changes put a strain on internal training departments where Medicare Compliance is handled in-house as they need to continually update the claims adjusters on the newest guidelines.

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5 Simple Steps to Achieve Medicare Compliance

CheckMarkAchieving 100% compliance when dealing with Medicare as a secondary payer is not easy. It’s a difficult, time-consuming, and labor-intensive effort, and one that many P&C insurance companies fail to give the priority it deserves.

The complexity and difficulty rises from the fact that the detailed rules and regulations involved are constantly changing. Plus, the average claims adjuster only sees a few Medicare-related claims a month. To help get a claims adjuster on the road to compliance, here are 5 core steps to follow. Read more

Gina Cox No Comments

When are Medicare Set Asides (MSAs) Required for P&C Insurers?

Expressions-16The issue of Medicare Set Asides (MSAs) is known to cause confusion and frustration for insurers. So, we want to provide a brief explanation to help settle some of the confusion and resolve some of the frustration that comes along with trying to keep up with changes in the Section 111 reporting and recovery regulations – including MSA rules.

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3 Ways P&C Insurers Can Reduce Cycle Times, Paid Costs, and Reserves

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Reducing cycle times, paid costs, and reserves is a top priority of nearly every leader in the personal injury insurance industry. These key metrics help determine the financial viability of a company and can be the determining factor for keeping employees.

However, optimizing the process for reporting and recovery of conditional payments for Medicare beneficiaries is often not a top priority. Here are three ways to improve this process and begin to save money and jobs.

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