Legal Liability Case Management

Efficiently track and manage the entire recovery process for any legal third party with improved accountability efforts.

Modular legal liability case management.

Legal liability case management is a critical aspect of third party liability (TPL) for Medicaid. We’re here to ensure that all responsible parties, like attorneys, legal entities or even state staff, are held accountable for all activities related to legal recovery efforts. Our modular software solutions are designed to improve lead identification and help with workload efficiency of legal liability case management by automating many of the administrative tasks associated with the process.

Putting your legacy system under new management.

Whether it’s empowering your staff with modular software solutions or helping service accountability efforts through case lifecycle management, our experts are well versed in all aspects of legal liability case management for TPL. Utilizing our base TPL technology, we can create a truly customizable experience with modular opportunities. Even long after the development process is complete, we configure solutions that enable end users to further customize to their needs.

Case Management

Easily manage all of your cases in a single place that allows you to organize case information, set custom workflows, and automatically generate customized activities.

  • Efficiently allocate daily work through customizable dashboards designed to empower users to configure based on their workload.
  • Improve prioritization of tasks through custom workflows in our responsive solution that allow users to set reminders, generate follow-ups, and more.
  • Effectively delegate work priorities through administrative dashboards and reporting that allow teams to track and understand where their time is best spent.

Case Management

Easily manage all of your cases in a single place that allows you to organize case information, set custom workflows, and automatically generate customized activities.

  • Efficiently allocate daily work through customizable dashboards designed to empower users to configure based on their workload.
  • Improve prioritization of tasks through custom workflows in our responsive solution that allow users to set reminders, generate follow ups, and more.
  • Effectively delegate work priorities through administrative dashboards and reporting that allow teams to track and understand where their time is best spent.

Track Recovery Efforts

Skip the clerical work by automatically identifying and creating cases from third parties in compliance with the Centers for Medicare & Medicaid Services (CMS).

  • Included but not limited to: Liability Insurance (Personal Injury, Auto Accident, Medical Malpractice, Class Action), Workers Compensation, Estate Recovery, and Indemnity Plans.
  • Automated processes for claim identification reduces the risk of missing out on potential recoveries.
  • Track and easily manage complex situations such as Estate Recovery Medicare cost share for dual-eligible members.

Forms and Correspondence Generation

Save time and reduce repetitive tasks with custom templates and automatic population of information for any type of communication.

  • Effortlessly use the templates to generate and keep track of communications.
  • Empower your staff as users to easily customize templates for letters, organize forms and emails, and more themselves.
  • Reduce manual work through simple integration with mailing centers that automatically handle outbound correspondence.

Forms and Correspondence Generation

Save time and reduce repetitive tasks with custom templates and automatic population of information for any type of communication.

  • Effortlessly use the templates to generate and keep track of communications.
  • Empower your staff as users to easily customize templates for letters, organize forms and emails, and more themselves.
  • Reduce manual work through simple integration with mailing centers that automatically handle outbound correspondence.

Public Facing Submission Portal

Reduce the burden on your TPL staff with an accessible portal that allows other parties to submit information and automatically integrate it into your workflow of cases.

  • Improve communication with attorneys by replacing tedious back and forth emails with a single point of submission right into your system.
  • Automatically generate leads if the system is unable to intelligently match the submitted information with real time updates as cases are submitted.
  • Increase data collection efficiency with secure document transfers for supplemental information to be linked to cases, eliminating the need for paper exchange processes such as mailing or faxes.

Claim Accounting Reconciliation of Case Payments

Ensure financial accountability with a thorough end to end review process from claim adjudication to reconciliation.

  • Accurately calculate the amount to be repaid and ensure traceability by verifying claim and case information.
  • Keep your financial reports up to date by confirming any repayment received is cycled back to the original designated budget it originated from.
  • Provide TPL leadership with accurate forecasting and reports around reconciliation numbers by validating repayment amounts.

Claim Accounting Reconciliation of Case Payments

Ensure financial accountability with a thorough end to end review process from claim adjudication to reconciliation.

  • Accurately calculate the amount to be repaid and ensure traceability by verifying claim and case information.
  • Keep your financial reports up to date by confirming any repayment received is cycled back to the original designated budget it originated from.
  • Provide TPL leadership with accurate forecasting and reports around reconciliation numbers by validating repayment amounts.

No more legal liability case management headaches.

By streamlining communication, providing real-time tracking, generating customizable communications, and improving efficiency, our software solutions can help Medicaid TPL divisions better manage legal liability cases. Your staff will be able to tap into more potential lead generation opportunities and increase the number of accurate recoveries. Our TPL experts’ end goal is always to empower end user staff and support them with the services they need.

Maximize Revenue

Our solutions help to ensure that Medicaid funds are recovered efficiently and effectively. By improving identification of and communication with responsible third parties, more funds can be recovered to maximize revenue and reduce financial losses.

Reduce Administrative Workload

What do automated case tracking notifications, hassle-free correspondence generation, and a secure attorney submission portal all have in common? These are all just a few ways our solution helps lower administrative workload and alleviate worker burnout.

Empower Users

Our solution allows users to easily customize correspondence templates and workflows to their needs long after the initial development. Our experts are always happy to do the heavy lifting, but strive to create solutions and configurations that set your staff up for success.

Enhance Compliance

Ensure that liable third parties are complying with state and federal laws related to TPL. Reduce the risk of information discrepancies or missing potential recoveries by putting more responsibility on the third parties.

More modules, more opportunity.

Support your legal liability case management efforts with collaborative oversight tools or add another module for lead generation from other third party liability areas.

LEAD GENERATION

For all TPL efforts, data is key. See how we can help enhance your additional TPL recovery efforts with optimized, proactive lead generation for legal liability case management and more.

VENDOR OVERSIGHT

Working with outside vendors for case activities? Need a way to stay up to date on overall performance? Our suite of oversight tools provides user-friendly dashboards and reports to keep you informed.

Don’t just take our word for it.

{

"KL&A has the absolute best team to work with! They listen to our business team and hear what problems we are trying to solve and work together with us to brainstorm solutions. This is truly a partnership of technical and business teams coming together to make something amazing! Together we have been able to create a cutting edge solution to maximize recoveries!"

Keelie H.
TPL Division Director, MDHHS

Don’t just take our word for it.

“KL&A has the absolute best team to work with! They listen to our business team and hear what problems we are trying to solve and work together with us to brainstorm solutions. This is truly a partnership of technical and business teams coming together to make something amazing! Together we have been able to create a cutting edge solution to maximize recoveries!”

Keelie H.
TPL Division Director, MDHHS

Close the case on tedious legal liability management processes.

Jury still out on if we can help improve your current system? Let us show you the evidence.

Pin It on Pinterest