Analytic-Powered Outcomes® for
Medicare Secondary Payer Compliance
MSP Compliance Bridge offers a full service Medicare Secondary Payer compliance platform
for your in-house program.
MSA calculator used to estimate the future cost of a Medicare Set Aside instantaneously, using calculator technology and simple drop down questions.
Instant technology generated MSA reports based upon objective medical claims data, evidence based medicine, state rules and policy guidelines, CMS Medicare coverage guidelines and predictive modeling. This Medicare Set Aside satisfies all CMS requirements and is especially useful in projecting future Medicare recovery for MSAs which do not meet the CMS threshold for review, liability claims with limited medical records or voluntary non-submission of a Medicare Set Aside.
This MSA may be paired with MSP Compliance Bridge’s post settlement account administration support service to conserve and ensure a proper spend of the MSA funds.
MSAs consistent with evidenced based medicine coupled with the subjectivity of CMS Review Practices, and medical claims data. Our experienced Life Care Planners complete your Medicare Set Aside within 72 hours having a 96% CMS approval upon CMS review.
This MSA may be paired with MSP Compliance Bridge’s post settlement account administration support service to conserve and ensure a proper spend of the MSA funds..
- Compliance Review
- Medicare and Social Security Eligibility Verification
- Conditional Payment Research & Negotiation for Medicare, Medicaid, and/ or Medicare Advantage C Plan
- Complex/ Catastrophic Claims
- CMS MSA Submission for Review & Approval
- MMSEA Section 111 Reporting
Prescription Drug Review
Retrospective and prospective medication review
As complex as medication requests may get, there are several factors to consider when reviewing medication requests. Medication interactions, dependency, compliance, weaning or simply monitoring are considerations that are increasingly important in the long-term management of chronic patients. Our pharmacy review services mitigate prescription drug exposure for MSAs.