The most effective Medicare Secondary Payer compliance programs help claims settle quickly, easily, and with optimal cost containment. Rising has the medical management expertise and technology to deliver positive results and reduce Medicare compliance exposure.

Accurate & Defensible Medicare Compliance & Settlement Solutions

Medicare Set Asides represent more than 40% of total submitted workers’ compensation settlement costs.1  For claims that require a Medicare Set Aside (MSA) allocation, it’s important to work with a company that has experience in medical cost management and can provide a structured process for complying with the Medicare Secondary Payer (MSP) Act. Rising makes the MSA process and related compliance activities easy for all stakeholders. Our skilled experts have experience adhering to changing regulations and communicating with all stakeholders involved in a settlement.

Leveraging our vast  medical  bill  database,  deep  data  intelligence,  and  automated  technologies, we  provide the historical insight needed to develop future medical cost projections that are defensible and necessary for MSA allocation reports.

Our comprehensive suite of solutions address medical costs and MSP compliance throughout the settlement lifecycle. They include:

Early Invention Key to Successful Settlement Outcomes

Very  few  MSAs  are  submitted  in  the  same  year  as  the  accident.2  While  claims are  under  active  management,  pre-settlement  medical  costs  can  have  a  dramatic  multiplying  effect  on  the  overall  settlement  value.  Rising  provides a full spectrum of solutions for managing these pre-settlement costs. Our medical bill review  and  clinical  interventions  not  only  result  in more effective care for the injured party, but they also  provide  significant  savings  over  the  life  of  the claim.

Compliance & Cost Savings

Rising’s Medicare settlement solutions are available individually or bundled together. Talk to us about your claim needs and we’ll guide you through recommended best practices for achieving compliance and cost savings. For more information, contact

  NCCI. Medicare Set-Asides and Workers Compensation: 2018 Update Arnautovic, Nedzad. February 5, 2018.

Medicare Compliance & Settlement Solutions: