Ametros will help injured workers throughout the settlement process by educating them on how Amethyst can help them self-administer their Medicare Set-Aside (MSA), while keeping their settlement funds in their own bank account. Additionally, once on the Amethyst platform, members will have access to the benefits of Amethyst including:
See the doctors you'd like. Freedom from utilization review. Never touch a bill again. All of this on Amethyst's platform!
Self-administration is an affordable option for injured parties to take CMS reporting into their own hands after settlement. When one self-administers, they are responsible for following CMS guidelines listed above. For complete details on self-administration, you can download CMS' Self-Administration toolkit here. There are services that assist you with providing the necessary paperwork and information when choosing to self-administer.
If you have a Medicare set aside, you carry certain obligations to the Centers for Medicare and Medicaid Services:
1. Funds should be deposited in a separate interest-bearing account
2. All treatments and prescriptions must be verified that they are related to the injury and covered by Medicare
3. Track all expenses, treatments, dates of service and related ICD9/10 codes annually; Reporting must be sent to the Centers for Medicare and Medicaid Services
4. Pay bills according to the specific state workers’ compensation fee schedule or “usual and customary” pricing