Tools

Tools

MISSION STATEMENT

 


 

We are dedicated to superior customer
service by delivering quality cost containment
and compliance products to the global
insurance market.

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Gould & Lamb’s Medicare Risk Assessment Program is a FREE web-based tool that assists clients in determining their level of Medicare exposure and provides a recommended course of action for the claim as it proceeds toward settlement.  This program can be customized to meet a client’s internal protocols of Medicare Secondary Payer (MSP) thresholds, ensuring consistent compliance nationally.

 

Our Medicare Risk Assessment Program takes the complexities out of the settlement determination process. This proprietary tool provides our clients with a fast, free and accurate assessment of the need to produce a Medicare Set-Aside Allocation and, if a referral to Medicare is appropriate, to create a compliant settlement. This allows for a quick settlement by knowing exactly what level of exposure the settlement will have to Medicare scrutiny in the future.  

Gould & Lamb’s Research and Development team has accumulated the data from the completion of over 80,000 cases to create the only logic engine that takes into account Medicare’s policy memos, federal law and our client’s individual Medicare Secondary Payer compliance protocols when evaluating Medicare risk in Worker’s Compensation settlements.  Our Medicare Risk Assessment Program will accurately evaluate and report the risk levels associated with the claim, score it and offer a defined course of action.

Your Medicare Risk Assessment Report can be secured by simply accessing our interactive form. After answering a few questions from your claim file, you will receive an accurate risk evaluation along with next steps to insure a compliant settlement.

 

get pdf Download the brochure

 

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