Medicare Compliance Services | Medicare Compliance Advisors

Flagship Services Group is exclusively dedicated to Medicare compliance for P&C insurance carriers, self-insured companies, public entities, TPAs, attorneys and other Medicare compliance related parties.Through a superb team of claim specialists, nurses and attorneys, with exceptional knowledge and expertise in Medicare claims compliance, Flagship delivers unsurpassed results.

Flagship’s Medicare Compliance Services:

1) provide an analysis of Medicare compliance status;

2) protect client’s financial resources;

3) mitigate the risk of non-compliance penalties;

4) remove the Medicare claims headache from claim adjusters’ desks.

Flagship’s compliance solutions generally reduce cycle times, paid costs and company reserves.

SERVICE

DESCRIPTION

Conditional Payment

Area of highest Medicare compliance cost and risk for P&C insurers. Unique end-to-end process management and expertise ensures 100% compliance. We take Conditional Payments off adjusters’ desks to eliminate errors and delays, reduce reimbursement costs and increase adjusters' efficiency.

Medicare Set-Asides

Flagship provides complete MSA creation and submission services, or MSA alternatives where appropriate. Medicare does not yet require MSAs for liability claims, but has announced its intention to do so. Flagship guarantees you will be ready when that happens.

Section 111 Reporting

LumenX®, Flagship’s proprietary reporting system, is the industry’s most robust, accurate, timely and easy-to-use Medicare query and Section 111 Reporting system

Medicare Risk Review

Review policies and processes for identifying and managing Medicare claims, and completing steps required to close a Medicare file and create an audit trail.

Medicare Essentials

Comprehensive session for claim professionals that provides understanding on the importance, training and best practices, of accurate and timely Medicare claims processing.

Account Management

Experienced, professional account manager and operations team dedicated to ensuring your compliance objectives are achieved.

Key Metric Reporting

We believe in, and practice, transparency and pro-active communication. Your adjusters will know the status of each file; your management team will have reports to track performance measures.

Trusted Medicare Advice

Whenever any of your claims team or senior management have questions or require claim-compliance advice, our professionals are available.

Services

Conditional Payments

Medicare Set-Asides

Section 111 Reporting

Medicare Risk Review

Legal Counsel

Commercial Repayment Center

Flagship’s Medicare Compliance Services:

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