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
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
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
Impact on Medicare Compliance as CMS Begins Covering Acupuncture
On January 21, 2020, the Centers for Medicare & Medicaid Services (CMS) announced via a Decision Memo that, for the first time... 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
Ametros Establishes Industry-Leading Regulatory Advisory Council
As part of Ametros’ goal to remain on the cutting edge when it comes to industry change and innovation, we are excited to announce the... more
CMS Holds Webinar on Electronic Attestation for Professional Administration
CMS Holds Webinar on Electronic Attestation for Professional Administration On November 6, 2019, the Centers for Medicare &... more
Timely Topics: A Valuable Practice Pointer on Section 111 Reporting
My world in recent months has afforded me the opportunity to learn a great deal about Medicare Set Asides (MSAs) and how they are... 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
The 7 Factors to Consider When Choosing a Professional Administrator
Selecting a professional administrator is an important decision, after all, the administrator is the one who will be managing the injured... 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
Ametros in Action: Complexities in Compliance
When settling a workers’ compensation or liability case, often the injured party and their family have a lot of questions. It’s a... more
The Evolution of Professional Administration: What You Need to Know
For people who have settled workers’ compensation claims or liability claims in the past, the use of professional administration for... more
