Navigation Links
Sedgwick CMS Integrates Medicare Compliance Solution With Claims Management Services
Date:10/21/2009

MEMPHIS, Tenn., Oct. 21 /PRNewswire/ -- Sedgwick Claims Management Services, Inc. (Sedgwick CMS) has introduced comprehensive Medicare compliance services as an in-house, integrated program option for its workers' compensation and liability claims management clients. The Sedgwick CMS Medicare solution includes Medicare set-aside determination, Medicare conditional payment ("lien") negotiation and resolution, and related consulting services. The company coordinates all such services with its protocols for fulfilling the Medicare reporting obligations of clients under the Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA).

The federal government, through its increasingly energetic enforcement of the Medicare Secondary Payer Act (MSPA), has demonstrated its determination to avoid or recover all Medicare costs for which a privately insured or self-insured program can be held responsible. The current implementation of the MMSEA will enable even more rigorous enforcement. The challenge for businesses in meeting their responsibilities under the law is to limit inaccurate or inflated payments without incurring fines or penalties. The Sedgwick CMS strategy for optimizing Medicare compliance provides important advantages in this effort compared to traditional outsourcing models:

  • Medicare compliance is approached as an integral component of the client's claims management program rather than as an unrelated administrative afterthought, aligning Medicare services with overall claims program objectives.
  • Proactive involvement of Sedgwick CMS Medicare specialists earlier in the claims resolution cycle promotes more cost-effective settlement arrangements and more timely and accurate reserving practices.
  • Sedgwick CMS Medicare compliance professionals have access to complete claims records within a secure, integrated information environment, fostering comprehensive understanding of potential Medicare issues and eliminating the privacy exposures of unnecessary data transfers.

"The Sedgwick CMS team of professionals led by Medicare Compliance Director Michael R. Merlino understands what is at stake for our clients in these matters," said Sedgwick CMS President and CEO David A. North. "We are pleased to offer our clients better solutions and greater accountability by addressing Medicare compliance as a core claims management responsibility."

Sedgwick Claims Management Services, Inc. is the leading North American provider of innovative claims and productivity management solutions. Sedgwick CMS and its affiliated companies deliver cost-effective claims administration, medical management, risk consulting and related services to clients through the expertise of approximately 6,400 colleagues in a hundred and fifty offices in the U.S. and Canada. The company specializes in workers' compensation; disability, FMLA and other employee absence; general, automobile and professional liability; Medicare compliance; and warranty and credit card claims services. Sedgwick CMS and its affiliates design and implement customized programs based on proven practices that meet client needs. For more see http://www.sedgwickcms.com.

Contact: Frank J. Huffman, Senior Vice President, Corporate Communications, 901-415-7548, frank.huffman@sedgwickcms.com.

SOURCE Sedgwick Claims Management Services, Inc.


'/>"/>
SOURCE Sedgwick Claims Management Services, Inc.
Copyright©2009 PR Newswire.
All rights reserved

Related medicine news :

1. Dr. Teresa Bartlett Joins Sedgwick CMS as Medical Director
2. Sedgwick CMS Launches Claims Administration Unit for Credit Card-Related and Warranty Claims Services
3. Sedgwick CMS Expands Healthcare Professional Liability Claims Services in Investigations, Risk Management, Audit & Consulting
4. Sedgwick CMS and UnitedHealth Group to Develop Integrated Disability, Medical, Workers Compensation and Leave Administration Services for Employers
5. Sedgwick CMS Gift Supports Walter Reed Patients, Families
6. Baucus Bill Integrates Physician Assistants in Health Care Delivery
7. Community Hospital System Integrates Patient Data with Orion Health
8. Lumension Integrates With Network Frontiers' Unified Compliance Framework To Simplify Compliance Challenges, Reduce Costs, And Harmonize Controls
9. Schwabe North America Integrates Enzymatic Therapy and Natures Way Sales Teams
10. Lexi-Comp Integrates Martindale: The Complete Drug Reference into Lexi-Comp ONLINE™
11. Allscripts Integrates Electronic Health Record With Innovative Patient Kiosk
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... 2017 , ... Lori R. Somekh, founder of the Law Office of ... elder law and special needs planning attorneys. “Membership in ElderCounsel helps our office remain ... to network with elder law attorneys nationwide,” said Somekh. , ElderCounsel ...
(Date:10/13/2017)... ... ... Global Healthcare Management’s 4th Annual Kids Fun Run brought out many kids ... sponsored by Global Healthcare Management’s CEO, Jon Letko, is aimed at getting kids excited ... all ages; it is a non-competitive, non-timed event, which is all about having fun ...
(Date:10/13/2017)... ... ... “America On The Brink”: the Christian history of the United States and the ... published author, William Nowers. Captain Nowers and his wife, Millie, have six children, ... in the Navy. Following his career as a naval aviator and carrier pilot, ...
(Date:10/12/2017)... ... , ... IsoComforter, Inc. ( https://isocomforter.com ), one of the Nation’s ... design of the shoulder pad. The shoulder pad provides optimal support and full ... while using cold therapy. By utilizing ice and water that is circulated from an ...
(Date:10/12/2017)... , ... October 12, 2017 , ... HMP , ... recipient of a 2017 Folio Magazine Eddie Digital Award for ‘Best B-to-B Healthcare Website.’ ... on October 11, 2017. , The annual award competition recognizes editorial and design excellence ...
Breaking Medicine News(10 mins):
(Date:9/22/2017)... 22, 2017 AVACEN Medical (AVACEN) announced that ... successfully helping those with the widespread pain associated with ... Amanda in Essex, England commented, ... hair, experiencing no sleep at all, tremendous pain, with ... cannot recommend [the AVACEN 100] enough, how this has ...
(Date:9/19/2017)... 2017   ZirMed Inc ., a recognized leader in ... it has been ranked #1 by its users for the ... 2017 User Survey. ZirMed was recognized as the top-ranked end-to-end ... medical centers over 200 beds and holds one of the ... survey history. ...
(Date:9/18/2017)... Sept. 18, 2017 EpiVax, Inc. ... bioinformatics and immune engineering, today announced a ... A (H7N9) vaccine. ... seasonal influenza and presents a challenge for ... exposure to be effective. Using state-of-the-art bioinformatics and ...
Breaking Medicine Technology: