Claims Solutions

Medicare Set-Aside (MSA) Allocation

We’re on your side. Discover how our advocacy-driven approach to Medicare Secondary Payer compliance can give you peace of mind and resolve settlements with confidence.

Reduce MSA costs with proactive and targeted cost mitigation strategies

Identifying Medicare Set-Aside cost-drivers early in the claims process is the key to reducing MSA allocation costs and maintaining Medicare Secondary Payer compliance. Proactively minimize MSA costs and settle claims through targeted cost mitigation strategies. Let our team of experts handle crucial, time-consuming tasks on your behalf through a strategic approach.

Navigate the MSA claims and allocation process with confidence

With Verisk as your MSA partner, you have a specialized and experienced team consisting of attorneys, nurses, former insurance adjusters, and several other specialties with extensive experience in all aspects of the Medicare Set-Aside process. Our team meticulously reviews all CMS decisions for accuracy, identifies trends, and seeks opportunities to challenge MSA adjustments.

Lowest defensible MSAs

Get the lowest defensible MSA by leveraging Verisk’s two decades of experience in navigating continuous CMS updates and trends and implementing successful cost-mitigation strategies.

Advocacy for you

Our MSA team meticulously reviews all CMS decisions, analyzing them for accuracy, identifying trends, and seeking opportunities to challenge MSA adjustments and policies.

Continuous quality improvement

We’re committed to improving our processes to ensure the latest CMS trends and resources are applied to allocation practices, incorporating Medicare coverage guidelines, fee schedules, and treatment guidelines.

Helping you achieve full Medicare compliance

Our team of Medicare compliance experts are here to help you only pay what you owe for Medicare Set Aside allocations. See the full spectrum of services Verisk delivers with a proven medical and legal approach to reduce your future medical expense exposure.

An expert, strategic approach to MSA claim resolution

Experienced and proven leaders

Our specialized MSA team creates set-asides while identifying issues, so you pay only what is necessary.

Claim-specific analysis

Get a full-scale report, review, and settlement language to submit your MSAs.

Monitoring CMS trends and updates

Our quality assurance team continually monitors CMS updates and trends to apply to your MSA allocations and submissions.

Additional allocation services to meet your MSA challenges

Pre-MSA

Improve MSA settlement outcomes by receiving a snapshot of potential MSA cost drivers to intervene before the full spend.

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Zero MSA allocation

If a “zero MSA” is appropriate based on the medical and/or legal facts of the case, our experienced legal team prepares case-specific arguments and are prepared to defend them before CMS.

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CMS submissions

Get support from our experienced team in submitting WCMSAs to CMS and challenging CMS decisions when necessary.

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Cost-mitigation solution

Leverage our industry-leading clinical, medical, and legal approach to achieve MSA savings through experience, advocacy, and analytics.

Learn more about Provider Outreach Cost Mitigation

MSA Link

A customizable, automated solution that uses S.111 data to initiate the MSA allocation process, based on client specific protocols.

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Data-Driven MSA

A fully automated solution that leverages Verisk’s medical, legal, and data science expertise to provide a quick, accurate, and cost-effective allocation in response to CMS’ WCMSA TPOC reporting requirements.

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Indemnified EBMSA

Designed to bridge the risk for claimants and insurers that choose to bypass submitting an MSA to CMS for review and approval.

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Available On Demand - Medicare 2025 Watch List Webinar

Change is here. Gain essential insights that will help you navigate the latest CMS changes and stay better prepared for 2025. Catch the replay.

Watch on-demand

Meeting the MSP Challenge

MSP compliance presents a unique set of challenges. Discover how setting a strong upfront strategy can help you succeed.

Download the white paper

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Related resources

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Webinar

How Verisk’s WCMSA Services Help Reduce Costs and Get Claims Settled

When it comes to reducing MSAs, the best defense is a good offense! Learn how Verisk’s suite of MSA services and cost-mitigation strategies provides workers’ compensation insurers with the help that they need to get costs under control and claims settled.

View the webinar on demand

Flyer

An advocacy-driven approach to Medicare Secondary Payer compliance

Medicare Secondary Payer (MSP) compliance calls for a combined medical and legal approach to identify issues and make sure you pay only for what is necessary—and nothing more. Verisk is your advocate. We help ensure an equitable and fair resolution for every claim. We analyze each case and design an MSA that fits your situation.

Download the flyer

Do more with the Verisk ecosystem

MSA Allocation is part of our full suite of claims solutions that provide compliance, reporting, and decision support tools and services.

Address Medicare compliance obligations to reduce risk

Comply with CMS and avoid costly penalties. Our Medicare compliance and reporting solutions provide the key information you need to mitigate risk.

Learn about Medicare Compliance and Reporting solutions

Make Amended Review work for you

Maximize your one chance at obtaining an Amended Review from CMS—and gain savings for eligible claims.

Learn about MSA Second Look

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Slash time and spend with AI-powered record review

Expedite record review with fast, accurate extraction of key medical information from unstructured documents. AI automation tools deliver accurate, impartial reviews of every file, helping you settle more claims while conserving time and resources.

Learn about Discovery Navigator

Workers On Scaffolding Reviewing Tablet On Jobsite

Identify severity faster with predictive analytics

Leverage AI and predictive analytics to quickly determine claim severity, improve triage, and control costs throughout the claims cycle.

Learn about wcNavigator

Conquer complex workers' compensation claims challenges

Streamline workers' comp data reporting and improve compliance with advanced analytics.

Learn about Workers' Comp State Reporting

Contact us to learn more

We are available Monday through Friday, 7 a.m. — 8 p.m. US Eastern Time:

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Note that password resets and user information are not available through Live Chat or Email. Instead, please call the main toll-free number below.

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1-800-888-4476

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International Access code, then 800 48977489
When calling from the UK, please dial 00 800 4897 7489

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We offer easy access via our online form but can accommodate e-mail, fax, mail, or arrange a pickup from your office. Contact your local sales representative or e-mail us at referrals@verisk.com.

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How can we help you?

Medicare Set-Aside (MSA) Allocation

Reduce MSA costs with proactive and targeted cost mitigation strategies

Navigate the MSA claims and allocation process with confidence

Lowest defensible MSAs

Advocacy for you

Continuous quality improvement

Helping you achieve full Medicare compliance

An expert, strategic approach to MSA claim resolution

Experienced and proven leaders

Claim-specific analysis

Monitoring CMS trends and updates

Additional allocation services to meet your MSA challenges

Pre-MSA

Zero MSA allocation

CMS submissions

Cost-mitigation solution

MSA Link

Data-Driven MSA

Indemnified EBMSA

Available On Demand - Medicare 2025 Watch List Webinar

Meeting the MSP Challenge

Related resources

How Verisk’s WCMSA Services Help Reduce Costs and Get Claims Settled

An advocacy-driven approach to Medicare Secondary Payer compliance

Do more with the Verisk ecosystem

Address Medicare compliance obligations to reduce risk

Make Amended Review work for you

Slash time and spend with AI-powered record review

Identify severity faster with predictive analytics

Conquer complex workers' compensation claims challenges

Contact us to learn more

Chat now

Main toll-free:

Global toll-free:

Refer a file

Address Medicare compliance obligations to reduce risk