Ametros Blog

Post-Settlement Update: CMS Provides Instructions to Providers when WCMSAs Involved

On February 23, 2023, the Centers for Medicare and Medicaid Services (CMS) issued a transmittal (Transmittal #: R11874MSP) regarding, “Significant Updates to the Internet Only Manual (IOM)... more

Shawn Deane

General Counsel, SVP Risk Management & Compliance

CMS Provides Clarification Regarding MSA Re-Review Requests & Limitations in Updated Version of WCMSA Reference Guide

The Centers for Medicare & Medicaid Services (CMS) released Version 3.8 of the Workers’ Compensation Medicare Set Aside (WCMSA)... more

November 15, 2022 • Shawn Deane

Compliance • Education

Decisions, Decisions: Future Medical Allocations & the Varying Paths to Protecting Medicare’s Interest in Settlements

The Medicare Secondary Payer (MSP) Act is no doubt a force to be reckoned with where parties seek to settle future medical obligations in... more

March 16, 2022 • Heather Schwartz Sanderson, Esq. & Shawn Deane, Esq.

Ametros Updates • Compliance • Education • News

Ametros Study Proves Post-Settlement Medicare Treatment Denials Do Occur

WILMINGTON, Mass.--(BUSINESS WIRE)--In a first-of-its kind study, Ametros found that over 34,000 claims per year were denied to Medicare... more

January 24, 2022 • Ametros

Compliance • Legislative & Regulatory • News

CMS Issues Position on Non-Submit MSAs in Updated WCMSA Reference Guide

The Centers for Medicare & Medicaid Services released Version 3.5 of the Workers’ Compensation Medicare Set Aside (WCMSA) Reference... more

January 12, 2022 • Shawn Deane & John Kane

Ametros Updates • Compliance • Legislative & Regulatory • News

Medicare Set Aside Regulatory Update

The date for issuance of a proposed rule relating to Medicare Secondary Payer (MSP) obligations around post-settlement medical expenses has... more

December 17, 2021 • Shawn Deane

Compliance • News

New WCMSA Reference Guide Brings with it an Important Reminder

A new version of the Workers’ Compensation Medicare Set Aside (WCMSA) Reference Guide brings with it an important reminder to ensure CMS... more

October 5, 2021 • Shawn Deane

Compliance • Education

Highly Recommended by Medicare: Professional Administration of MSAs as a Safety Measure when Frequently Abused Drugs are Involved

COVID-19 has completely overshadowed certain health issues. The opioid epidemic has taken a back seat to the current pandemic. In 2019, 1.6... more

September 21, 2021 • Shawn Deane

Compliance • Legislative & Regulatory

Workers’ Compensation is a Data Driven Industry, Except When It Comes to Settlements

In workers’ compensation, data is at the forefront of many professionals’ work. Lawyers focus on their individual practices... more

August 26, 2021 • Paul H. Sighinolfi

Compliance • Education

The Devastating Risks of Failing to Comply with Medicare Requirements Post-Settlement

Temporary or permanent loss of Medicare benefits for injured workers and potential financial exposure for payers are the consequences of... more

August 5, 2021 • Michael Stack

Compliance • Education

Determining Medicare Covered Items & Services for Your Medicare Set Aside

Pursuant to the Medicare Secondary Payer (MSP) provisions, following certain types of settlements which resolve medicals, Medicare may not... more

April 6, 2021 • Kathleen Correia

Ametros Updates • Compliance • News

Ametros Expands its Drug Monitoring Program to include CMS Part D Opioid Guidelines

After their first semi-annual review, Ametros announced today another improvement to its CareGuard professional administration service that... more

May 19, 2020 • Ametros

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