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.
- Ghostbusters (11/1/2019) - In 1984, Ivy League trained parapsychologists Venkman, Stantz, and Spengler started a ghost-catching business in New York City, despite implausible research, and eventually were welcomed as heroes by saving the city from the paranormal disguised as giant marshmallow man Stay Puft. Only in the movies! But, we can use this ghoulish time of the year to serve as a reminder: Don’t let MSP enforcement claims by Medicare Part C Advantage Plans sneak up to shock and detract your standard claims operating procedures. Identifying and resolving these repayment claims may be just as important a part to your overall MSP compliance strategy as similar claims by traditional Medicare Parts A and B.
- How far is too far when negotiating Medicare release terms? (10/7/2019) - At the recent NAMSAP Educational Conference in Baltimore, during a breakout panel discussion on “Leveraging Settlement with Medicare Set-Asides in Mediation”, a rather strident concern was raised with respect to the reasonable scope of terms in a settlement release irrespective of the type of primary plan covering the loss. Specifically, attendees questioned whether Medicare eligible individuals could or to what extent may release their claim or claims in the future to these public health and welfare insurance benefits while negotiating compromise settlement provisions under liability, no-fault or workers compensation plan.
- Treasury Trove (9/17/2019) - Medicare is paid for through two Trust Fund accounts—Hospital Insurance and Supplementary Medical Insurance—held by the United States Department of Treasury, How Is Medicare Funded. In 2018, over 60 million people were covered by Medicare with over $731 billion in total expenditures from the Trust Funds Facts on Medicare Spending and Financing. Further, CMS reports validating $493.68 million in recoverable mistaken conditional payments, while returning $98.68 million dollars to the Medicare Trust Funds in 2018 as a direct result of its recovery program activities, on top of $131.78 million in 2017, MSPRC Commercial Repayment Center in Fiscal Year 2018. Collection activity by the United States Department of Treasury (DOT) on Medicare conditional payments is reportedly increasing in 2019, plus, over the past 15 months, the United States Department of Justice reached six-figure settlements with two Plaintiff’s law firms for failure to repay Medicare conditional payments.