MSA Second Look

Amended Review allows parties to submit an updated MSA based on new medical evidence for certain unsettled claims. Verisk’s Second Look helps navigate CMS’s criteria to reduce allocations and settle claims.

Higher-than-expected CMS MSA approval amounts can complicate and impede claim settlement

As a result, insurers continue to incur claims costs. Plus, new medical evidence, or certain other changes, can render CMS’s approved MSA amount inaccurate and unrealistic.

Navigate the Amended Review process and reduce allocation costs

Parties have an opportunity to submit a new MSA proposal to CMS to help reduce MSA costs and settle claims faster and with better outcomes.

Expert guidance on submitting MSA proposals

Our team can help you submit new MSA proposals for consideration regarding unsettled claims that meet CMS’s Amended Review criteria.

Lower your MSA costs

Amended Review can help reduce MSA allocation costs to optimize claim settlement.

Easily identify qualifying cases

Our experienced MSA team helps determine if your case meets CMS’s Amended Review criteria to achieve a reduced MSA amount, allowing you to get the case back on the settlement track and close out more claims.

Why choose MSA Second Look?

Let Verisk’s experienced MSA allocation team help you navigate Amended Review’s nuanced criteria to determine if the case qualifies for the process and the best time to submit a new MSA proposal to CMS to help secure a lower MSA approval.

Proactive intervention in Medicare claims settlement

Customized approach

Our dedicated legal and nursing team analyzes and creates a customized plan to help strategically reduce MSA cost-drivers.

Qualification analysis

Get an analysis of whether the claim qualifies for an Amended Review. We can help create the roadmap for proactive intervention to reduce costs and obtain CMS approval.

Side-by-side comparison

Get a detailed review of the claimant’s current medical treatment and recommendations to help formulate a realistic MSA allocation projection of future medical needs based on current medical evidence and related circumstances.