Ametros Webinars

• 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

• Adapt your Marketing strategy for Millennials and Gen Z
• Embrace new Marketing technologies
• Manage your brand (both business and personal) in a digital environment

This webinar & video resource is recommended for: 

• Industry professionals who want to better educate individuals on the importance of properly managing their future MSA funds after settlement
• Individuals considering self-administration or have questions about managing their MSA after settlement 

Learning Objectives

• Answers to questions about MSAs including what they are, why they are important, and how they can be managed after settlement
• CMS compliance requirements injured individuals must follow if they have an MSA and how to complete annual MSA attestation with real-life examples
• Important documents injured individuals should understand prior to settling
• Tools and support resources to help injured individuals manage their MSA funds after settlement

• What factors affect the wellness of injured workers before and after settlement?
• What is trending with Workers’ Compensation medical practitioners?
• What does “evidence-based medicine” mean and how does it work in practicality?
• What is on the horizon for the Occupational Medicine community?

• Strategies to recruit, retain and develop talent at your company
• How to be an adaptive and responsive leader
• A plan for implementing new leadership styles in your organization

• The purpose of BICMD and Ametros’ partnership
• The future care path of the injured worker
• Services that can be offered virtually after settlement
• Why it is important to have a second opinion on care after settlement, including Medical Improvement (MMI) and Independent Medical Examinations (IMEs)

• Efforts states have taken to adjust workers compensation to the COVID-19 pandemic including legislative, regulatory, and executive actions introducing compensability presumptions into the law
• What is a presumption, how do they work, and why should they apply to certain categories of workers and not others?
• Should there be a more comprehensive national disability option addressing incapacity caused by a virus?

• Who is Parashar Patel?
• The importance of the Patel memo and its impact on Medicare Secondary Payer
• History of MSAs leading up to the “Patel Memo”
• Parashar Patel’s thoughts on the evolution of Medicare Set Asides

• Unique therapeutic perspective of injured workers who settle
• Utilization metrics
• Safety measures professional management provides

• LuAnn Haley, an Arizona ALJ and Board Member of The National Association of Workers’ Compensation Judiciary
• Douglas Gott, Kentucky’s Chief WC ALJ
• Joseph DeRita, ALJ and Director of Workers’ Compensation Adjudication in Pennsylvania
• COVID-19’s impact on claim processing
• How state systems are adapting
• The pandemic’s impact on settling cases

• What should an employer’s concern be for his employees’ health and safety based on what we know about this virus?
• How does an employer maintain a healthy work environment and support healthy business operations? – What is the psychiatric community thinking about this pandemic?
• Could a claim be filed for an emotional injury where there is no physical harm caused by the exposure, only the harm associated with the fear of potential life-threatening harm?
• What is the Occupational Medicine community thinking about these claims?
• How is the medical community adjusting to this no-contact environment we now all share? Is telemedicine the answer and is it our future?

• Medicare Set Asides (MSAs)
• Conditional Payments
• Section 111 Reporting
• Professional Administration

• Did any of the fifty-three workers’ compensation systems plan for a cataclysmic event like the Coronavirus?
• What system was the first to implement changes to adapt to the pandemic reality?
• What jurisdiction has adopted the most comprehensive catastrophic plan?

• Common FAQs regarding Humana coverage, denials, and subrogation
• Brian’s background and how his role impacts decision made at Humana
• How Humana determines when to issue subrogation letters for services post-settlement
• How Humana enforces MSP Statute​​​​​​​
• How Humana collects the data they need and what specific data is obtained from CMS & other sources​​​​​​​