The Reality of Medicare Denials – Avoid Unanticipated Medicare Liability After a Settlement
Medicare is systematically denying MSA recipient’s claims after settlement, and with steady frequency. Produced with exclusive data from researchers at Research Data Assistance Center (ResDAC), a CMS contractor, Ametros reveals a first-of-its-kind study analyzing how often CMS denies coverage for individuals after settlement of an insurance claim involving medical liability.
John Kane, VP of Strategy dives into the study’s data-backed trends with the study's authors, Jayson Gallant, Sr. Strategic Account Executive and Shawn Deane, General Counsel & SVP of Risk Management & Compliance of Ametros. Ametros’ research reveals denials are impacting the treatment of individuals who settled with WCMSAs.
- The volume and frequency of Medicare denials over the past few years
- The correlation between WCMSAs and the Medicare Part B Program denials
- The broad implications Medicare denials have for the individual and all constituents in the claims settlement process
- Best practices to ensure individuals are being compliant with CMS’ requirements