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.
- Progressive Insurance Company Settles Medicare and Medicaid Secondary Payer False Claims Act for $2.4 Million (11/22/2018) - Auto, liability, no-fault, and work comp primary payers- if you didn’t take Medicare and Medicaid secondary payer issues seriously before, here are over 2 million reasons why you should. On November 14, 2017, the United States of America, the State of New Jersey, Progressive Garden State Insurance Company, Progressive Casualty Insurance Company, and Relator Elizabeth […]
- 2019 Thresholds (11/20/2018) - The SMART Act requires the Centers for Medicare & Medicaid Services (CMS) to review its costs related to recovering conditional payments compared to recovery amounts annually. After their analysis, CMS announced the reporting thresholds for Liability, No-Fault and Workers Compensation claims for 2019. CMS calculated a threshold for physical trauma-based liability insurance settlements. “Effective January […]
- Bilirakis and Kind Introduce PAID Act, Requiring CMS Provide Identity of Advantage, Prescription, and Medicaid Plans (6/4/2018) - Rafael Gonzalez, Esq., President, Flagship Services Group On May 18, 2018, Congressman Gus Bilirakis (R-FL) and Congressman Ron Kind (D-WI) introduced HR 5881, amending the Medicare Secondary Payer (MSP) statute and clarifying its application to Medicare Part C Advantage Plans (MAP), Medicare Part D Prescription Drug Plans (PDP), and Medicaid. The Provide Accurate Information […]