Representing #TeamRising at South Bend Orthopaedics recent #workcomp seminar was VP of Field Care Management Tim Rankin. In addition to giving away great swag to seminar attendees, Tim was also on hand to answer questions about Rising's field case management (FCM) program, one of our many medical care optimization offerings. To learn more about Rising's advocacy-based FCM services or refer a case, visit https://hubs.la/Q02Gpwkf0. Angela Cummins #WorkersCompensation #ABetterWay #WeMakeLivesBetter
Rising Medical Solutions
Insurance
Chicago, IL 5,708 followers
"We make lives better."
About us
Rising Medical Solutions is a national managed care firm that provides medical cost containment and medical care management services to the workers' compensation, auto, liability, and group health markets. Our client base includes insurance carriers, TPAs, self-insured employers, and public-sector and government entities of varying sizes from small to large tier. Since 1999, our managed care services have positively impacted hundreds of thousands of employee lives and saved billions in total claim costs for payers across the country. Our flagship bill review service and technologies consistently deliver over 60% in national bill review savings, which includes application of fee schedule/UCR rates, network discounts, nurse audits, provider negotiations, and embedded fraud detection capabilities. However, our solutions portfolio goes far beyond the standard repricing of medical bills. Our integrated programs deliver clinical and cost-saving expertise before, during, and after treatment. Our proprietary VISION™ platform is the industry’s only multi-product, multi-line, single-sign-on, medical management enterprise system. VISION™ provides claims professionals with unprecedented ancillary referral and medical management capabilities across the entire medical care continuum, from early intervention to payment processing. Together with our passionate, mission-driven employees, Rising delivers an unparalleled user experience for those providing, receiving, and paying for medical care. Rising also directs and publishes the annual Workers’ Compensation Benchmarking Study, a national research program examining the complex forces impacting claims management in workers’ compensation today. The study has become one of the most cited research publications in the industry and has been the subject of numerous articles, webinars, and conference presentations since its 2013 inception.
- Website
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http://www.risingms.com
External link for Rising Medical Solutions
- Industry
- Insurance
- Company size
- 51-200 employees
- Headquarters
- Chicago, IL
- Type
- Privately Held
- Founded
- 1999
- Specialties
- Medical Cost Containment, Medical Bill Negotiation, Medicare Set Aside Workers Compensation, Utlization Review Services, Medicare Set Aside Administration, Medical Bill Review, Hospital Bill Review, Medicare Set Aside Trust, and Utilization Review Workers Compensation
Locations
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Primary
Get directions
325 N LaSalle Street
Suite 600
Chicago, IL 60654, US
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Get directions
700 West Virginia Street
Milwaukee, WI 53204, US
Employees at Rising Medical Solutions
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Rick Thompson
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Pat Frias, CSM
Senior IT Technical Program Manager #Management l #Healthcare IT | #Program Implementation | #Project Management
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Erik Brandon
VP Finance, Administration, Corporate Compliance, and Talent at Rising Medical Solutions
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Angela Lanser
Senior Operations Manager at Rising Medical Solutions
Updates
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DON'T MISS OUT >> REGISTER NOW: Join us July 24 for the Workers' Compensation Benchmarking Study's annual webinar. Discover key insights from the Study's 11th annual report, examining how frontline claims talent view their profession and the tools transforming the industry. Moderated by Dan Reynolds, Editor-in-Chief of Risk & Insurance, panelists Denise Zoe Algire, Marcos Iglesias, Matthew Harmon and Todd Brown will break down data from over 1,300 survey responses, covering trends like remote work and AI. Sign up today to stay ahead in #claimsmanagement! Register here: https://hubs.la/Q02G1vwr0 #workerscompensation #workcomp
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When one of your company's core values is “Achieve as a Team,” custom baseball jerseys are the perfect employee gift to #celebrate 25 years in business. Recently, Rising’s Milwaukee office held a photo shoot featuring team members from multiple departments posing in their new #silveranniversary swag. As for who wore it best, four-legged model Finn clearly earned "top dog" honors! #OfficeDogs #TeamRising #AlwaysRising #ABetterWay
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Congrats to Greg King for winning Rising’s quarterly Elevate Award for “Process Improvement/Innovation.” Consistently lauded by colleagues for his thorough review of existing processes and proactive approach to implementing operational enhancements, Greg has played a vital role in the success of a recent IRS TIN matching project, ensuring our clients’ provider billing data matches provider information on file with the IRS. Kudos for contributing your expertise in leading this project, Greg! #ABetterWay #AlwaysRising #TeamRising
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REGISTER NOW >> Join us for the Workers' Compensation Benchmarking Study's (WCBS) annual webinar on July 24. Discover key insights from the 11th annual WCBS, exploring how frontline claims talent view their profession and the tools transforming the industry. Join Denise Zoe Algire, Marcos Iglesias MD, MMM, FAAFP, FACOEM, DipWSET, Matthew Harmon and Todd Brown, as they break down data from over 1,300 survey responses, covering trends like remote work and AI. Moderated by Dan Reynolds, Editor-in-Chief of Risk & Insurance, register now to stay ahead in #claimsmanagement! Register here: https://bit.ly/4eoZndI #workerscompensation #workcomp
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Excited to announce the newest member of Rising’s senior leadership team, John Paolacci Bringing 30 years of claims and managed care experience to the Chief Operating Officer role, John will oversee all of Rising’s medical cost containment, medical care management, and settlement support services. Welcome John! Read the full announcement here: https://hubs.la/Q02CqGpS0.
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In a recent Business Insurance article, Rising CEO Jason Beans weighs in on how CMS’ new #MSA reporting requirement and penalties will impact the #workcomp industry. Effective April 2025, all MSAs must be reported regardless of settlement amount, eliminating the current $25k threshold. Fines of up to $365k for noncompliance could be assessed. Read the full article here → https://hubs.la/Q02Cg0Mf0. To learn how Rising’s Section 111 reporting solution achieves timely compliance with CMS requirements, visit https://hubs.la/Q02Cgflr0 #MedicareSecondaryPayer #Section111 Jason B.
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Congrats to Chelsy H. for winning Rising’s quarterly Elevate Award for our “Achieve as a Team” core value. Chelsy consistently sets the bar for exceptional teamwork, but her role as a “buddy” for new hires truly demonstrates her dedication to departmental cohesion. Always available to answer questions and clarify processes, Chelsy’s engaging communication style puts new employees at ease and establishes a rapport that lasts beyond the onboarding process. Thanks to her mentorship, those who join Rising’s Provider & Partner Support unit gain the knowledge and confidence needed to deliver service excellence to medical providers and strategic partners. Learn more about all seven Rising core values here: https://bit.ly/3KYTwij. #TeamRising #AlwaysRising #ABetterWay #WeMakeLivesBetter
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Rising business development executives Mike Wright and Daryl McCalley will be in the Adirondacks this week for the New York Self-Insurers Association Spring Workshop. A great slate of educational sessions and networking opportunities awaits at this annual event. Be sure to say hello if you'll also be in attendance! #workcomp #workerscompensation #claimsmanagement #TeamRising
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