Provider Outreach Service

We can help you build an effective Medicare Set-Aside (MSA) cost-mitigation strategy to achieve more accurate and timely claims settlements, while taking crucial, but time-consuming tasks off the adjuster’s desk. 

Get the evidence you need to reduce MSA amounts

Many insurers don’t have the resources or clinical and legal experience needed to objectively analyze and determine necessary medical treatments along with obtaining critical information from patient records. This can lead to setting aside more than you need to, costing you in in the long run.

Reduce costs with MSA cost-mitigation strategies

We meticulously apply our industry-leading clinical and legal experience to each MSA assignment, helping you take a proactive and aggressive approach to treatment assessments. 

Customized cost reduction strategies

Our team reviews and identifies cost drivers to recommend cost reduction strategies for every MSA service. 

Expert guidance on documentation needed for CMS approval

Get missing medical records and clarified surgery recommendations to cut allocation. Our team proactively secures critical information needed for MSA reduction and CMS approval. 

Medical record procurement

Obtaining updated medical records or clarifications from the claimant’s treating physician can play an integral role in reducing MSAs. Verisk takes this time-consuming task off the adjuster’s desk and gathers the necessary information to reduce MSA amounts at minimal cost. 

Features and capabilities

Save adjuster time with our Record Acquisition service

Our team will contact treating providers on your behalf to obtain records, which our nurse specialists then review and analyze to provide your adjuster with a detailed analysis and action plan. Get the information you need for lower allocations and faster settlements. 

Drive down MSA costs with a comprehensive treatment picture

Our cost mitigation team contacts the claimant’s medical provider(s) to obtain or clarify treatment information, recommended or referenced treatment options, and a more accurate view of the current treatment plan to uncover known MSA cost drivers.