ENGLEWOOD, Colorado – (COMMERCIAL THREAD) – Flagship Services Group, Inc., a company providing health insurance compliance expertise to insurance companies, self-insured entities, lawyers, and state and local government agencies, today announced its unique end-to-end solutions for the compliance challenges that the industry faces regarding Centers for Medicare and Medicaid Services (CMS) reporting and Medicare secondary payer (MSP) recovery requirements. Flagship’s integrated solutions combine best practices for claims, legal and medical to manage claims from start to finish.
“There is enormous confusion and misinformation about what parties are required to do to comply with Section 111 returns and Medicare secondary payer collection provisions,” noted Kendell Gracey, executive vice president and Chief Legal Counsel of Flagship Services Group. “Parties may think they are in compliance, but in reality they are creating new responsibilities every day. So Flagship has assembled a team of experts including claims managers, lawyers and nurses to dispel the confusion and provide our clients with desperately needed solutions to complex issues for every claim, whether contentious or not.
Section 111 requires Responsible Reporting Entities (RREs) to report eligible claims and settlements to the Centers for Medicare and Medicaid Services (CMS), in order to identify the parties and the amount of money involved in a claim or settlement. . Before these claims are resolved and reported, the Medicare Secondary Payor Act (MSP) requires parties to consider and protect the value of Medicare’s past, present, and / or future financial interests in order to protect themselves. ensure Medicare does not pay for claims that should be covered by another source of the payer.
CMS is now focusing on Section 111 and MSP requirements. Those who do not comply with these federal laws are liable to a penalty of $ 1,000 per day per claim and / or double damages, interest and personal liability.
Many parties who believe they are in compliance with Medicare’s reporting and collection requirements risk incurring penalties and liabilities because:
Continuing changes to CMS and postponements of reporting obligations have created confusion within the industry
MSP’s requirements for collection, including negotiation and payment of settlements, are inconsistent and poorly understood
Insurance companies, state government entities, and lawyers have turned to Flagship to clarify the complexities and ever-changing requirements of federal laws associated with Medicare. Flagship’s state-of-the-art, personalized products and services are tailored to the world of Medicare compliance and offer a combination of IT solutions for claims, legal, medical and proprietary in the marketplace.
“Our mission is to bring efficiency and effectiveness to the Medicare recovery and reporting process. In doing so, we protect our customers from risk while ensuring compliance with federal laws, ”said Brian Cox, CEO of Flagship Services Group. “We aggressively manage every step of the claims process with best practices based on Medicare guidelines and our expertise to ensure that no penalties are incurred, that settlement is accurate and that our clients are protected from liability. and costs. While we understand that Medicare’s interests must be protected, we also make a strong effort to position our customers where, if they have to pay Medicare, they pay what they owe and not a dime more.
About Flagship Services Group, Inc.
Flagship Services Group provides one-stop complete solutions for the complexities of Section 111 reporting and MSP recovery requirements. Flagship offers unparalleled expertise in the workers’ compensation and general liability industries with its end-to-end solutions integrated with best practices that enable customers to manage claims from first notice of loss to settlement.
Flagship’s CMS and MSP solutions focus on and provide customers with:
Save time and resources
Accuracy of settlement amounts
Peace of mind
Headquartered in Englewood, Colorado, Flagship serves customers across the United States and is headquartered at 11755 E. Peakview Ave. Suite 250, Englewood, CO 80111. Visit Flagship at www.flagshipsgi.com or contact Flagship toll free at 888- 444-4125.