Why Should Workers’ Comp Carriers, Self-Insured & Injured Workers Care About the MSP Act?
Let’s take a moment to look at an example of a workers’ compensation claim. You have an injured worker who has failed back surgery,... more
Ametros Blog
Important Updates from CMS’ Webinar on 11/13
Centers for Medicare and Medicaid Services (CMS) provided an “early involvement” webinar to the industry on changes to Non-Group Health Plan (NGHP) Section 111 Workers’ Compensation Total... more
JK
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,... more
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
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
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
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
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
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
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
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
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
