Medicare Claim Denials Are Happening to Individuals After Settlement, Study Confirms
Ametros sought to answer a question many in the industry have asked. “What happens when a Medicare beneficiary settles their claim with... more
Ametros Blog
We are Watching: Medicare Now Notifies Beneficiaries How WCMSA Data is Tracked and Administered
Key Changes to the Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide Version 4.3 On April 7, 2025, the Centers for Medicare & Medicaid Services (CMS) released version... 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
Professional Administration & Structured Settlements: The Perfect Pair in Claims Resolution
Some things complement each other and together they're the perfect pair: Jordan & Pippen, peanut butter & jelly, soap & water.... more
Struggles & Risks in Self-Administering Workers’ Compensation Medicare Set Asides
Following resolution of a workers' compensation claim that includes payment for future medicals – usually in the form of a Medicare Set... more
8 Questions from Attorneys about Medicare Set Aside Administration
Determining the best approach to address MSAs with their client in the settlement process can be a challenge for many plaintiff... more
Top 10 Medicare Set Aside Administration Myths Debunked
With its recent issuance of a revised WCMSA Reference Guide¹ (with new guidelines around administration), an updated Self-Administration... 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
What is Medicare Secondary Payer?
“Medicare Secondary Payer” (MSP) is the term used when Medicare is not the primary payer for medical care, meaning another group has... 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
How Do I Protect My MSA Money?
MSAs are created to “protect Medicare’s interests.” This means the Centers for Medicare and Medicaid (CMS or Medicare) expects you to... more
Life Post-Settlement: What Happens to Injured Workers After They Settle
The workers’ compensation system has, for the most part, functioned successfully for more than 100 years. There are certainly... more
