{"id":239,"date":"2023-11-27T10:24:30","date_gmt":"2023-11-27T15:24:30","guid":{"rendered":"https:\/\/sedgwickcom.wpengine.com\/?page_id=239"},"modified":"2025-06-03T15:28:28","modified_gmt":"2025-06-03T19:28:28","slug":"medicare-compliance","status":"publish","type":"page","link":"https:\/\/www.sedgwick.com\/claims-administration\/workers-compensation\/medicare-compliance\/","title":{"rendered":"Medicare compliance"},"content":{"rendered":"            <div  class=\"subnavigation-block wp-block-sedgwick-subnavigation\">\n            <div class=\"subnavigation-block__inner\">\n                <div class=\"subnavigation-block__main-link-div\">\n                                            <a href=\"https:\/\/www.sedgwick.com\/claims-administration\/workers-compensation\/\" class=\"subnavigation-block__main-link\">WORKERS&#8217; COMPENSATION<\/a>\n                                        <div id=\"subnavigation-block__mobile-toggle\">\n                        <img decoding=\"async\" src=\"https:\/\/www.sedgwick.com\/wp-content\/themes\/sedgwick\/assets\/2025-icons\/chevron-down-current-color.svg\" aria-label=\"Open Subnavigation\" alt=\"\">\n                    <\/div>\n                <\/div>\n                <div class=\"subnavigation-block__links-div\">\n                    <ul class=\"subnavigation-block__links\">\n                                                        <li class=\"subnavigation-item relative\">\n                                                                                                                <a href=\"https:\/\/www.sedgwick.com\/solutions\/casualty\/workers-compensation\/managed-care\/\" class=\"subnavigation-block__link\">\n                                            <span class=\"item-spacer\"><\/span>\n                                            Managed care                                        <\/a>\n                                                                                                        <\/li>\n                                                        <li class=\"subnavigation-item relative\">\n                                                                                                                <a href=\"https:\/\/www.sedgwick.com\/solutions\/casualty\/workers-compensation\/medicare-compliance\/\" class=\"subnavigation-block__link\">\n                                            <span class=\"item-spacer\"><\/span>\n                                            Medicare compliance                                        <\/a>\n                                                                                                        <\/li>\n                                                        <li class=\"subnavigation-item relative\">\n                                                                                                                <a href=\"https:\/\/www.sedgwick.com\/solutions\/casualty\/workers-compensation\/osha-compliance\/\" class=\"subnavigation-block__link\">\n                                            <span class=\"item-spacer\"><\/span>\n                                            OSHA compliance                                        <\/a>\n                                                                                                        <\/li>\n                                            <\/ul>\n                                    <\/div>\n            <\/div>\n        <\/div>\n    \n\n\n\n\n    <section class=\"breadcrumbs-block light-mode wp-block-sedgwick-breadcrumbs\">\n                    <script type=\"application\/ld+json\">\n                {\"@context\":\"https:\/\/schema.org\",\"@type\":\"BreadcrumbList\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Claims administration\",\"item\":\"https:\/\/www.sedgwick.com\/claims-administration\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Workers' compensation\",\"item\":\"https:\/\/www.sedgwick.com\/claims-administration\/workers-compensation\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Medicare compliance\"}]}            <\/script>\n                <ol>\n                            <li>\n                                            <a href=\"https:\/\/www.sedgwick.com\/claims-administration\/\" class=\"\">\n                            Claims administration                        <\/a>\n                        <span>\/<\/span>\n                                    <\/li>\n                            <li>\n                                            <a href=\"https:\/\/www.sedgwick.com\/claims-administration\/workers-compensation\/\" class=\"\">\n                            Workers&#8217; compensation                        <\/a>\n                        <span>\/<\/span>\n                                    <\/li>\n                            <li>\n                                            <span>Medicare compliance<\/span>\n                                    <\/li>\n                    <\/ol>\n    <\/section>\n\n\n            <div\n                        style=\"padding-top:50px;padding-bottom:50px;\" class=\"full-bleed-cta-block wp-block-sedgwick-full-bleed-cta\"            style=\"            \n                    \">\n                        <div class=\"text-stack__container\">\n                \n<div class=\"text-stack__wrapper light-mode small-text text-stack__center-items\" style=\"max-width: 950px;\">\n                <h1 class=\"text-stack__eyebrow\">Medicare compliance<\/h1>\n                <h2 class=\"text-stack__heading \">The trusted partner for Medicare compliance. <\/h2>\n                <div class=\"text-stack__body\"><p>Our experts can help you reduce costs, stay compliant and confidently navigate all claim-related Medicare concerns.<\/p>\n<\/div>\n                \n<div class=\"buttons-group__wrapper justify-center md:justify-center\" style=\"gap: 40px;\">\n    \n                            <a href=\"#contact\" class=\"btn-25 btn-brand\" target=\"\" tabindex=\"0\">\n                                            Contact us                                    <\/a>\n    <\/div>    <\/div>            <\/div>\n        <\/div>\n    \n\n\n<section class=\"region-group-block light-mode wp-block-sedgwick-region-group\">\n            <div class=\"region-group__container\">\n            <div class=\"acf-innerblocks-container\">\n\n<div class=\"wp-block-group is-layout-flow wp-block-group-is-layout-flow\">\n<div class=\"wp-block-cover z-[1] wp-elements-9ef2fffe31d807581dd068db12a85761\" style=\"padding-top:var(--wp--preset--spacing--3);padding-right:var(--wp--preset--spacing--3);padding-bottom:var(--wp--preset--spacing--3);padding-left:var(--wp--preset--spacing--3)\"><span aria-hidden=\"true\" class=\"wp-block-cover__background has-background-dim-100 has-background-dim wp-block-cover__gradient-background has-background-gradient\" style=\"background:linear-gradient(135deg,rgba(0,0,0,0.86) 43%,rgba(0,0,0,0.19) 100%)\"><\/span><img loading=\"lazy\" decoding=\"async\" width=\"399\" height=\"240\" class=\"wp-block-cover__image-background wp-image-16122\" alt=\"\" src=\"https:\/\/www.sedgwick.com\/wp-content\/uploads\/2024\/11\/C-O_Nurse-e1745092418424.png\" data-object-fit=\"cover\" srcset=\"https:\/\/www.sedgwick.com\/wp-content\/uploads\/2024\/11\/C-O_Nurse-e1745092418424.png 399w, https:\/\/www.sedgwick.com\/wp-content\/uploads\/2024\/11\/C-O_Nurse-e1745092418424-300x180.png 300w\" sizes=\"auto, (max-width: 399px) 100vw, 399px\" \/><div class=\"wp-block-cover__inner-container is-layout-flow wp-block-cover-is-layout-flow\">\n<div class=\"wp-block-group is-layout-constrained wp-container-core-group-is-layout-a1458d1d wp-block-group-is-layout-constrained\">\n<p class=\"has-text-align-center font-helvetica_25 font-bold\" style=\"font-size:1.5rem;letter-spacing:-0.9px;line-height:1.21\">Sedgwick&nbsp;provides&nbsp;comprehensive Medicare compliance services as an in-house, integrated program&nbsp;option&nbsp;for workers\u2019 compensation and liability claims management. Our team offers a unique approach to Medicare Set Asides (MSAs), Medicare&nbsp;lien&nbsp;resolution and medical cost projections. <mark>Clients can rely on the&nbsp;efficiencies, quick turnaround time and quality Sedgwick\u2019s experts&nbsp;deliver<\/mark> \u2013 and the assurance that our overall goal is to drive total claims costs down.<\/p>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n<\/div>        <\/div>\n    <\/section>\n\n\n<div class=\"wp-block-group has-25-warm-white-background-color has-background is-layout-flow wp-block-group-is-layout-flow\">\n<div class=\"wp-block-group is-layout-constrained wp-container-core-group-is-layout-a1458d1d wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading has-text-align-center block-content025 heading-h3 lg:heading-h2\" style=\"padding-top:5rem\"><span><strong>News &amp; insights to inform your medicare compliance<\/strong><\/span><\/h2>\n<\/div>\n\n\n\n<section class=\"post-cards-block wp-elements-bc4d00e6fd6f6f9655ba8aa80da99a6a wp-block-sedgwick-post-cards has-text-color has-25-dynamic-black-color has-background has-25-warm-white-background-color\">\n            <div class=\"post-cards__container\">\n            <div class=\"acf-innerblocks-container\">\n\n<div class=\"wp-block-query is-layout-flow wp-block-query-is-layout-flow\">\n<section class=\"post-card-block wp-block-sedgwick-post-card\">\n            <div class=\"post-card__container\">\n            <div class=\"acf-innerblocks-container\">\n<ul class=\"wp-block-post-template is-layout-flow wp-block-post-template-is-layout-flow\"><li class=\"wp-block-post post-7272 post type-post status-publish format-standard has-post-thumbnail hentry category-blog tag-health tag-medical-care tag-medicare tag-public-health\">\n<figure class=\"wp-block-post-featured-image\"><img loading=\"lazy\" decoding=\"async\" width=\"2560\" height=\"1706\" src=\"https:\/\/www.sedgwick.com\/wp-content\/uploads\/2023\/10\/Medicare-set-asides_now-with-fewer-amended-review-restrictions-squashed-scaled-1.jpg\" class=\"attachment-post-thumbnail size-post-thumbnail wp-post-image\" alt=\"A woman typing on a laptop inside by a window.\" style=\"object-fit:cover;\" srcset=\"https:\/\/www.sedgwick.com\/wp-content\/uploads\/2023\/10\/Medicare-set-asides_now-with-fewer-amended-review-restrictions-squashed-scaled-1.jpg 2560w, https:\/\/www.sedgwick.com\/wp-content\/uploads\/2023\/10\/Medicare-set-asides_now-with-fewer-amended-review-restrictions-squashed-scaled-1-300x200.jpg 300w, https:\/\/www.sedgwick.com\/wp-content\/uploads\/2023\/10\/Medicare-set-asides_now-with-fewer-amended-review-restrictions-squashed-scaled-1-1024x682.jpg 1024w, https:\/\/www.sedgwick.com\/wp-content\/uploads\/2023\/10\/Medicare-set-asides_now-with-fewer-amended-review-restrictions-squashed-scaled-1-768x512.jpg 768w, https:\/\/www.sedgwick.com\/wp-content\/uploads\/2023\/10\/Medicare-set-asides_now-with-fewer-amended-review-restrictions-squashed-scaled-1-1536x1024.jpg 1536w, https:\/\/www.sedgwick.com\/wp-content\/uploads\/2023\/10\/Medicare-set-asides_now-with-fewer-amended-review-restrictions-squashed-scaled-1-2048x1365.jpg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" \/><\/figure>\n\n<div class=\"taxonomy-category wp-block-post-terms\"><a href=\"https:\/\/www.sedgwick.com\/category\/blog\/\" rel=\"tag\">Insights<\/a><\/div>\n\n<h3 class=\"wp-block-post-title\"><a href=\"https:\/\/www.sedgwick.com\/blog\/medicare-set-asides-now-with-fewer-amended-review-restrictions\/\" target=\"_self\" >Medicare set asides: now with fewer amended review restrictions<\/a><\/h3>\n<\/li><li class=\"wp-block-post post-7418 post type-post status-publish format-standard has-post-thumbnail hentry category-blog tag-compliance tag-medical-care tag-medical-claims tag-medicare\">\n<figure class=\"wp-block-post-featured-image\"><img loading=\"lazy\" decoding=\"async\" width=\"2560\" height=\"1707\" src=\"https:\/\/www.sedgwick.com\/wp-content\/uploads\/2023\/10\/3-Medicare-compliance-issues-to-keep-an-eye-on-squashed-scaled-1.jpg\" class=\"attachment-post-thumbnail size-post-thumbnail wp-post-image\" alt=\"A woman reading through some papers in her kitchen.\" style=\"object-fit:cover;\" srcset=\"https:\/\/www.sedgwick.com\/wp-content\/uploads\/2023\/10\/3-Medicare-compliance-issues-to-keep-an-eye-on-squashed-scaled-1.jpg 2560w, https:\/\/www.sedgwick.com\/wp-content\/uploads\/2023\/10\/3-Medicare-compliance-issues-to-keep-an-eye-on-squashed-scaled-1-300x200.jpg 300w, https:\/\/www.sedgwick.com\/wp-content\/uploads\/2023\/10\/3-Medicare-compliance-issues-to-keep-an-eye-on-squashed-scaled-1-1024x683.jpg 1024w, https:\/\/www.sedgwick.com\/wp-content\/uploads\/2023\/10\/3-Medicare-compliance-issues-to-keep-an-eye-on-squashed-scaled-1-768x512.jpg 768w, https:\/\/www.sedgwick.com\/wp-content\/uploads\/2023\/10\/3-Medicare-compliance-issues-to-keep-an-eye-on-squashed-scaled-1-1536x1024.jpg 1536w, https:\/\/www.sedgwick.com\/wp-content\/uploads\/2023\/10\/3-Medicare-compliance-issues-to-keep-an-eye-on-squashed-scaled-1-2048x1366.jpg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" \/><\/figure>\n\n<div class=\"taxonomy-category wp-block-post-terms\"><a href=\"https:\/\/www.sedgwick.com\/category\/blog\/\" rel=\"tag\">Insights<\/a><\/div>\n\n<h3 class=\"wp-block-post-title\"><a href=\"https:\/\/www.sedgwick.com\/blog\/3-medicare-compliance-issues-to-keep-an-eye-on\/\" target=\"_self\" >3 Medicare compliance issues to keep an eye\u00a0on<\/a><\/h3>\n<\/li><li class=\"wp-block-post post-5639 post type-post status-publish format-standard has-post-thumbnail hentry category-legislation-update tag-absence tag-disability tag-disability-and-leave tag-helping-people tag-leave-law tag-legal tag-legislation tag-legislative-change tag-legislative-updates tag-medicare tag-view-on-people tag-workers-compensation\">\n<figure class=\"wp-block-post-featured-image\"><img loading=\"lazy\" decoding=\"async\" width=\"2560\" height=\"1706\" src=\"https:\/\/www.sedgwick.com\/wp-content\/uploads\/2023\/10\/Curbing-medical-malpractice-claim-costs-amid-social-inflation-squashed-scaled-1.jpg\" class=\"attachment-post-thumbnail size-post-thumbnail wp-post-image\" alt=\"A variety of medical devices on a surface.\" style=\"object-fit:cover;\" srcset=\"https:\/\/www.sedgwick.com\/wp-content\/uploads\/2023\/10\/Curbing-medical-malpractice-claim-costs-amid-social-inflation-squashed-scaled-1.jpg 2560w, https:\/\/www.sedgwick.com\/wp-content\/uploads\/2023\/10\/Curbing-medical-malpractice-claim-costs-amid-social-inflation-squashed-scaled-1-300x200.jpg 300w, https:\/\/www.sedgwick.com\/wp-content\/uploads\/2023\/10\/Curbing-medical-malpractice-claim-costs-amid-social-inflation-squashed-scaled-1-1024x682.jpg 1024w, https:\/\/www.sedgwick.com\/wp-content\/uploads\/2023\/10\/Curbing-medical-malpractice-claim-costs-amid-social-inflation-squashed-scaled-1-768x512.jpg 768w, https:\/\/www.sedgwick.com\/wp-content\/uploads\/2023\/10\/Curbing-medical-malpractice-claim-costs-amid-social-inflation-squashed-scaled-1-1536x1024.jpg 1536w, https:\/\/www.sedgwick.com\/wp-content\/uploads\/2023\/10\/Curbing-medical-malpractice-claim-costs-amid-social-inflation-squashed-scaled-1-2048x1365.jpg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" \/><\/figure>\n\n<div class=\"taxonomy-category wp-block-post-terms\"><a href=\"https:\/\/www.sedgwick.com\/category\/legislation-update\/\" rel=\"tag\">Legislation update<\/a><\/div>\n\n<h3 class=\"wp-block-post-title\"><a href=\"https:\/\/www.sedgwick.com\/legislation-update\/legislation-updates-disability-leave-and-workers-compensation-21\/\" target=\"_self\" >Legislation updates: Disability, leave and workers&#8217; compensation<\/a><\/h3>\n<\/li><li class=\"wp-block-post post-9094 post type-post status-publish format-standard has-post-thumbnail hentry category-blog tag-care-advocacy tag-casualty tag-chronic-pain tag-clinical-approach tag-clinical-review tag-clinicians tag-covid-19 tag-drug-overdose tag-drug-trends tag-group-health tag-health-crisis tag-managed-care tag-medicare tag-opioid-tapering tag-opioids tag-patients tag-tapering tag-trends-transformation tag-wellness tag-workers-compensation\">\n<figure class=\"wp-block-post-featured-image\"><img loading=\"lazy\" decoding=\"async\" width=\"8192\" height=\"5464\" src=\"https:\/\/www.sedgwick.com\/wp-content\/uploads\/2024\/09\/GettyImages-1356160626.jpg\" class=\"attachment-post-thumbnail size-post-thumbnail wp-post-image\" alt=\"\" style=\"object-fit:cover;\" srcset=\"https:\/\/www.sedgwick.com\/wp-content\/uploads\/2024\/09\/GettyImages-1356160626.jpg 8192w, https:\/\/www.sedgwick.com\/wp-content\/uploads\/2024\/09\/GettyImages-1356160626-300x200.jpg 300w, https:\/\/www.sedgwick.com\/wp-content\/uploads\/2024\/09\/GettyImages-1356160626-1024x683.jpg 1024w, https:\/\/www.sedgwick.com\/wp-content\/uploads\/2024\/09\/GettyImages-1356160626-768x512.jpg 768w, https:\/\/www.sedgwick.com\/wp-content\/uploads\/2024\/09\/GettyImages-1356160626-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 8192px) 100vw, 8192px\"><\/figure>\n\n<div class=\"taxonomy-category wp-block-post-terms\"><a href=\"https:\/\/www.sedgwick.com\/category\/blog\/\" rel=\"tag\">Insights<\/a><\/div>\n\n<h3 class=\"wp-block-post-title\"><a href=\"https:\/\/www.sedgwick.com\/blog\/clinicians-look-carefully-at-opioid-tapering-data-and-guidelines\/\" target=\"_self\" >Clinicians: Look carefully at opioid tapering data and guidelines<\/a><\/h3>\n<\/li><\/ul>\n<\/div>        <\/div>\n    <\/section><\/div>\n\n<\/div>        <\/div>\n    <\/section><\/div>\n\n\n            <div\n            id=\"contact\"             style=\"padding-bottom:0px;margin-bottom:0px;\" 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