A Thank You Note from Heather Sanderson; 2023 Sanderson Firm Year in Review
As 2023 ends, I want to thank our valued clients, vendor partners, colleagues, employees and subscribers for the continued support and partnership of Sanderson Firm. Because of your support and confidence in us, 2023 reflects significant growth in our client base nationwide, spanning Fortune 100 self-insured companies, insurance carriers, third-party administrators as well as governmental entities for Medicare Secondary Payer compliance services.
In fact, in 2023, Sanderson Firm completed twice the number of Medicare Set-Asides (MSAs) over 2022 as well as tripled our Medicare conditional payment services volume. To say it was a tremendous year of growth would be an understatement. We are immensely grateful for our clients’ support in helping us achieve this momentous traction as we head into 2024.
Further, the Sanderson Firm team is proud of what we achieved as well as the cost savings that we brought forth for our clients in 2023 which we believe has been much of the reason for demand in our services.
On the Medicare Set-Aside (MSA) front, with our Evidence Based MSA (eMSA)/Indemnified MSA (iMSA), we saved our clients $23 million dollars over traditional Workers’ Compensation Medicare Set-Asides (WCMSAs). We consultatively assisted our clients settle Medicare beneficiary claims more quickly, and our attorneys continued to be on standby for calls as needed to help our clients achieve settlement. Our clinical team evaluated every MSA for any opportunities for cost containment and conducted physician outreach if needed. The combined clinical and legal advocacy approach to our MSAs at Sanderson Firm is unique in the industry and provides the very best and most precise defensible allocation.
On the Medicare conditional payment sphere, we saved our clients $4 million dollars with our conditional payment disputes across traditional Medicare, Medicare Advantage Plans, and Prescription Drug Part D plans. We had impressive wins on our disputes with Medicare, with 93.8% of disputes/appeals being deemed fully favorable, including Department of Treasury appeals.
On the Section 111 Reporting side, we took over/became the Reporting Agent for numerous Responsible Reporting Entities (RREs), and we launched our own proprietary Section 111 solution, SandersonComply. We additionally performed Section 111 audits for numerous RREs, to assist in identifying compliance issues, which is even more important now with the Centers for Medicare & Medicaid Services (CMS) issuing their Final Rule on Section 111 civil money penalties.
Further, this year Sanderson Firm achieved successful completion of a SOC 1 Type 1 report which verified Sanderson Firm’s fair presentation of organizational controls and design effectiveness of how such organization controls are implemented. Our plan is to achieve our SOC 2 Type 2 by summer of 2024. Lastly, we enjoyed keeping our clients abreast on the latest on MSP developments via our webinars as well as our blogs and will continue to provide this thought leadership in 2024 and beyond.
Going into our fourth year in business in 2024, I am energized about Sanderson Firm continuing to expand its reach and to advocate for our clients in achieving cost effective and simple guidance on achieving Medicare Secondary Payer compliant settlements.
Based upon increased compliance initiatives by CMS in 2023, no doubt 2024 will be another busy year for MSP compliance. However, I’m confident that together we can successfully navigate all the twists and turns and continue to provide innovative and unmatched MSP compliance services. Thank you for the trust you place in us to do our part and thank you for your business and continued partnership.
Wishing you all the best for a strong, healthy, and happy end to 2023, and cheers to the journey ahead of us in 2024.
Heather Sanderson
Founder and CEO
