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
Ametros Blog
Six Ways Ametros and Professional Administration Protect Injured Workers
When an injured worker receives a settlement, managing medical funds and ensuring continued care can be overwhelming. Without proper oversight, funds can run out too soon, paperwork can get messy,... 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
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
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
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
Medicare Set Asides 101: Professional Administration
In the course of settling a worker’s compensation or liability case, there are many obstacles to overcome. One of the most frequent... more
Q&A with Humana: Medicare Secondary Payer, Conditional Payments, and Medicare Set Asides
Many people understand that the Medicare program provides hospital benefits under Medicare Part A and professional service benefits under... more
Medicare is Issuing Denials
The Centers for Medicare and Medicaid Services (CMS) asserts it has the right to deny paying for a treatment if a settlement recipient... more
What Does It Mean to Settle Your Workers’ Compensation Case?
While many workers’ compensation industry professionals and regulators focus their time, effort, and resources on claims management,... more
