A Premier Medicare Compliance Service Provider
Flagship Services Group is the premier Medicare compliance services provider to Property & Casualty insurers. Most Medicare compliance firms have their origins in the Workers’ Comp Insurance world, and built their services to support the needs of comp carriers. Although Flagship does Medicare compliance services for Workers Comp insurance carriers, our primary focus and expertise has been the Medicare compliance needs of P&C insurance companies. We have assembled the expertise, experience and resources to deliver unparalleled compliance and cost savings results.
Flagship built its processes and systems from the ground-up to support the unique but critical needs of P&C insurance companies, and this is an important distinction. We manage all Medicare beneficiary files from “pre-cradle” to “post-grave” with a claims-centric focus, ensuring your company’s interests are protected every step of the way.
Your biggest Medicare compliance expense and exposure is managing Conditional Payments, and that is Flagship’s key focus. Our expertise and experience in Conditional Payments management is not ancillary to other claims processing services. It is our area of expertise and experience. Addressing your Conditional Payment issues in a way that assures 100% compliance, and saves you money, is what we do … and we guarantee it!
We have managed thousands of Conditional Payments and saved our clients millions of dollars, and we will provide that level of service for you. Our teams of medical, legal and claim professionals have achieved unequaled performance.
- Louisiana Appellate Court Rules CMS Approval of MSA Was a Suspensive Condition that Suspended Obligation to Fund the MSA Until CMS Approval (5/21/2018) - Rafael Gonzalez, Esq. President, Flagship Services Group On May 2, 2018, the Third Circuit Court of Appeal of Louisiana published its opinion on Mary Ortega v. Cantu Services, Inc., concluding that the settlement of the workers compensation claim at hand was conditioned on CMS approval of a Medicare Set-Aside. Because the settlement agreement did not […]
- 6th Circuit Denies Beneficiary MSP Double Damages for Not Alleging Personal Financial Loss and Therefore Not Establishing Standing (5/15/2018) - On April 16, 2018, the United States Sixth Circuit Court of Appeals published its opinion on Gucwa and Marusza v. Lawley, Ager, Baker, Rubin and Accident Fund Insurance Company, finding that because Gucwa and Marusza did not allege personal financial loss in the original complaint or the two amended complaints, they have not established standing […]
- A Tale of Two Courts: Can MAPs Recoup MSP Double Damages from Medical Providers That Have Received Payment from Primary Payer? (4/23/2018) - Rafael Gonzalez, Esq. President, Flagship Services Group What a difference a couple of miles and a couple of days make. On March 2, 2018, the United States District Court for the Middle District of Florida, (Orlando), published its opinion on MSPA Claims 1, LLC v. Halifax Health, Inc., in which the court found that a […]