Medicare Compliance & Settlement Solutions

At Tower MSA Partners, we simplify Medicare Secondary Payer (MSP) compliance with technology-driven solutions that help insurers, self-insured employers, third-party administrators (TPAs), and attorneys reduce costs, mitigate risks, and drive claims to settlement.

Our comprehensive services support workers’ compensation and liability settlements, ensuring compliance while optimizing medical and pharmacy expenses.

Explore our key services:

Medicare Set-Aside (MSA) Services

We deliver accurate, cost-effective MSAs to facilitate settlements while ensuring compliance with CMS guidelines. Our services include:

  • MSA Allocations – Defensible reports that optimize future medical allocations
  • CMS Submission & Approval – Expertly managed submission process
  • Pre-MSA Evaluation – Early analysis to assess claim settlement readiness

Medicare Conditional Payment & Lien Resolution

Our lien resolution team proactively manages conditional payments to ensure settlements move forward smoothly. We offer:

  • Medicare Conditional Payment Investigation & Disputes
  • Medicare Advantage Plan Lien Investigation and Resolution
  • Tower as Your Recovery Agent to Monitor and Timely Act on Medicare Conditional Payment Correspondence

Section 111 Reporting & Compliance

We help clients stay compliant with Section 111 Reporting requirements through:

  • Accurate & Timely Reporting – Secure data transmission and validation
  • Error Reduction & Compliance Monitoring – Minimizing risk of CMS penalties

Legacy Claims Settlement Solutions

Unresolved legacy claims drive up costs and hinder financial performance. Our strategic settlement approach reduces claim reserves and medical spend through:

  • Comprehensive Claim Reviews – Identifying settlement opportunities
  • MSA & Medical Cost Containment – Reducing medical and pharmacy costs before settlement
  • Negotiation Support & Lien Resolution – Resolving CMS and Medicare claims efficiently

Liability Settlement Solutions

Liability claims bring unique MSP compliance challenges, requiring customized solutions. Our expert team provides:

  • Liability MSAs (LMSAs) – Tailored medical allocations for liability settlements
  • Future Medical Cost Projections – Defensible reports for settlement negotiations
  • Conditional Payment & Lien Resolution – Protecting settlements from unexpected Medicare recovery actions

Medical Cost Projections

For claims not requiring an MSA, our detailed Medical Cost Projections provide clarity on future medical exposure, helping clients:

  • Assess Settlement Value Accurately
  • Understand and Control Future Medical Costs
  • Make Data-Driven Decisions for Claims Resolution

Why Tower MSA Partners?

  • Technology-Driven Compliance – Industry-leading automation for accuracy and efficiency
  • Clinical & Legal Expertise – Strategic interventions to lower MSA costs
  • End-to-End MSP Solutions – Comprehensive support from claim review to settlement
  • Proactive Cost Containment – Driving down medical and pharmacy expenses
  • Dedicated Client Support – Trusted experts guiding you every step of the way

Let’s Move Your Claims to Settlement.
Contact us today to learn how Tower MSA Partners can support your MSP compliance and claims resolution goals.