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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.



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.

  • Civil Money Penalties (2/17/2020) - The Centers for Medicare and Medicaid Services (CMS) is set to release their proposed rulemaking for Civil Money Penalties (CMP’s) regarding Medicare reporting. CMS is expected to publish the proposed rule on Tuesday, February 18, 2020 and is accepting public comment for 60 days. The deadline to submit comments will be Monday, April 20, 2020.  […]
  • Robert J. Finley to Present at 5th Annual RISE Medicare Secondary Payer Master Class (1/29/2020) - Robert J. Finley, Partner with Hinshaw & Culbertson LLP and Chief Legal Consultant to Flagship Services Group, will provide a series of presentations at the 5th Annual RISE Medicare Secondary Payer Master Class, to be held February 3 – 4, 2020 in Jacksonville, Florida. The comprehensive two-day event is designed for mid to senior level management and legal professionals who are responsible for Medicare Secondary Payer compliance in risk management, finance, enforcement, and legal roles.
  • What to Watch for in 2020 (1/10/2020) - Which ideas will rise to the top in the 2020 Presidential election where each candidate seems to advance different positions and goals on health care, and Medicare’s role, which many polls suggest remains the top issue: Providing Americans the healthcare they need and improving access to affordable, quality healthcare…

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