Available only to select clients!

The new COB trend is moving from the traditional “pay-chase” model to a ProActive approach.  For example we used to recover $10 Million for one client using the “pay chase” model we now return them $31 million in cost avoided claims. 

This new approach also allows us to do the recoveries for free.

Also, with this new model you can still keep your current COB vendor relationships and internal processes.

If you would like to schedule an appointment to discuss email me at Lance.Dudley@acs-inc.com

• Proactive COB (PDF)
  

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Healthcare Recovery Sevices

Coordination of Benefits



Section 111, MSP Validation, Duplicate Payment Identification, Retro-terminations, Workers’ Compensation Offset

We provide supplemental Coordination of Benefits (COB), helping your internal COB efforts identify and recover benefits paid where Medicare or another healthcare payer should have paid primary. We share this updated Coordination of Benefits information with all stakeholders, so processes can be corrected and accurate payments can be made in the future.

Prepayment Investigation
The majority of overpaid claims are due to incomplete/incorrect information regarding a member’s work status.

Don’t wait until claims are overpaid to accurately determine order of benefits.

Prepayment Investigation provides regular work status checks of all known Medicare entitled members, which allows you to know with confidence at the time of payment, the correct order of benefits.

Accurate Reporting
The new challenge for health plans reporting entitlement information to Medicare is to look beyond basic Section 111 compliance. With the right focus, the Centers for Medicare and Medicaid Services required data sharing can be a powerful tool.

By providing entitlement data, you reduce Medicare’s potential for overpayment while increasing your risk. Let Recovery Services use our expertise to ensure that you are getting the most out of Section 111 mandated reporting.

• Timely and accurate primacy determinations
• Updates to the Common Working File
• Maintenance of primacy records in your eligibility system
• Accurate MSP and Non-MSP Reporting