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
Big Changes to $0 WCMSA Proposals: What You Need to Know About CMS Updates in Version 4.2
On January 17th, the Centers for Medicare and Medicaid Services (CMS) released the WCMSA Reference Guide v4.2 January 2025. These updates introduce important changes to policies and processes for... more
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
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
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
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
How the Military Arms Veterans for Success in Risk Management
Each year, our country pauses for a day to celebrate Veterans, the individuals who put their lives on the line to protect our country.... more
Carisk® Partners, Tower MSA Partners, & Ametros to Provide Patient-Centered Case Closure and Settlement Solution in Workers’ Compensation
MIAMI, FLA. – October 11, 2021--Carisk® Partners, a specialty risk transfer and care coordination company, Tower MSA Partners, a... 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
The Superior Court of Pennsylvania Offers a Lesson in Allocating Settlement Proceeds
In early August, the Pennsylvania Superior Court issued a decision that is instructive on the allocation of settlement proceeds. The... more
The Overcharging MSA Accountholders Face as Uninsured Consumers
When a person who has been injured at work settles their insurance claim and receives money for their future medical care via a Medicare... more
