Protecting Future Medical Care: Crucial Reporting for Your Medicare Set Aside
Navigating Medicare Set Asides (MSAs) post-settlement can be daunting, particularly for those dealing with injuries. Often overlooked,... more
Ametros Blog
A Deep Dive into the History of CMS MSA & Administration
If carriers fail to reasonably consider Medicare’s interest in a settlement, they risk having a settlement disregarded and it puts beneficiaries at risk of having their benefits denied, potentially... more
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... more
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
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
