Ametros Blog

Legislative & Regulatory

Gallardo v. Marstiller, A Recent US Supreme Court Decision That Merits the Attention of the Workers’ Comp and Liability Communities

In Gallardo v Marstiller, a case decided by the United States Supreme Court this year, the Court considered the question: Does the federal... more

July 28, 2022 • Paul H. Sighinolfi

Education

Experts Explain How to Prevent Losing Continuation of Care Post-Settlement

Here’s a scenario; an injured individual settles their workers’ compensation claim. A Medicare Set-aside (MSA) was created to fund all... more

June 6, 2022 • Ametros

Ametros Updates

Adjusting’ to an Empathetic Resolution Model: It’s Settled, Episode 11

With millions of U.S. workplace injuries and illnesses reported by the Bureau of Labor Statistics (BLS) each year, there is no doubt... more

May 25, 2022 • Ametros

Ametros Updates • Education

Changing the Narrative of Work Comp

How did work comp become such a misunderstood system and underrated career? When its sole purpose is to help those who are injured after a... more

April 26, 2022 • Ametros

Legislative & Regulatory • News

CMS Issues Clarifications around Position on Non-Submit MSAs in Updated Version of the WCMSA Reference Guide

The Centers for Medicare & Medicaid Services (CMS) released Version 3.6 of the Workers’ Compensation Medicare Set Aside (WCMSA)... more

March 22, 2022 • Shawn Deane & John Kane

Compliance • Education

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

March 16, 2022 • Heather Schwartz Sanderson, Esq. & Shawn Deane, Esq.

Education

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

March 8, 2022 • Jayson Gallant

Education

Ensure an Individual’s Medicare Set Aside is Maintained Post-Settlement

Medicare Set Asides (MSAs) can be daunting. The issue of settling with one can be so confounding that many injured parties avoid settling... more

February 3, 2022 • Michael Stack

Ametros Updates • Compliance • Education • News

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

January 24, 2022 • Ametros

Compliance • Legislative & Regulatory • News

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

January 12, 2022 • Shawn Deane & John Kane

Legislative & Regulatory • News

Is it True Congress has Proposed Spending Millions to Monitor State Workers’ Comp Systems?

In recent months, there have been several articles either directly addressing or alluding to the fact a United States House Committee on... more

December 21, 2021 • Paul H. Sighinolfi

Ametros Updates • Compliance • Legislative & Regulatory • News

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

December 17, 2021 • Shawn Deane