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The Perfect Pair: Professional Administration and Structured Settlements Whitepaper

To see a real-life case study and the math behind why administration and structures are the best combination, click to download the whitepaper.

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Items and Services Not Covered Under Medicare

This publication provides information on the four categories of items and services not covered under Medicare and applicable exceptions.
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CareGuard One Pager

This one pager describes all you need to know about Ametros' leading professional administration service, CareGuard.
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8 Questions from Attorneys About MSA Administration

Download this informative article from our president, Porter Leslie, about Medicare set aside administration featuring experts in the industry.
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Amethyst Onboarding

Learn all about getting started with Amethyst including how to navigate the portal and getting support for your needs.
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Medicare – What Medicare Covers

Find out if your test, item or service is covered. Medicare coverage for many tests, items, and services depends on where you live.
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The Centers for Medicare and Medicaid Services (CMS) Website

The Centers for Medicare and Medicaid Services (CMS) Website
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Accepting Payment from Patients with a Medicare Set-Aside Arrangement

A MSA is a financial arrangement that allocates a portion of a settlement, judgment, award, or other payment to pay for future medical services.
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Medicare & Other Health Benefits: Your Guide to Who Pays First

If you have Medicare and other health coverage, each type of coverage is called a “payer .” When there’s more than one payer, “coordination of benefits” rules decide who pays first.
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Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide

This guide was written to help you understand the process used by the Centers for Medicare & Medicaid Services for approving proposed WCMSA amounts.
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Self-Administration Toolkit for Workers Compensation Medicare Set-Aside Arrangements

If you have decided to self-administer your CMS-approved WCMSA, this Toolkit can help you manage your account appropriately and satisfy Medicare’s interests related to future medical care.
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Sample Submission Checklist for a Workers’ Compensation Medicare

This document, prepared in compliance with § 508 of the Rehabilitation Act of 1973, as amended, is intended to be used as a sample submission or checklist for a sample submission.
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Medicare Secondary Payer Booklet

This booklet provides a general overview of the MSP provisions and outlines your responsibilities.
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Medicare’s Interest: Lump Sum or Structured Settlement

Notwithstanding any other provision of this title, no payment may be made under part A or part B for any expenses incurred for items or services...
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Life Care Plans Prepared by Non-Treating Physicians

Medicare will consider accepting such evaluations if the physician does all of the following...
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Commutation vs. Compromise

One of the distinctions that Medicare regulations and manuals make between compromise and commutation cases is the absence of controversy over whether a WC carrier is liable to make payments.
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WCMSA and Revision of the Low Dollar Threshold for Medicare Beneficiaries

The purpose of this memorandum is to replace Q/A #2 of the July 11, 2005 Memorandum with regard to the Centers for Medicare & Medicaid Services’ low dollar WCMSA threshold for Medicare beneficiaries.
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Pricing Future Prescription Drug Treatment Costs

The purpose of this memorandum is to set forth the Centers for Medicare & Medicaid Services’ (CMS’) procedures regarding the methodology of pricing future prescription drug treatment costs/expenses...
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Pricing of Implantable Devices and Beneficiaries Requesting Termination of a WCMSA Account

This memorandum includes policy regarding the pricing of Implantable Devices and to replaces the policies regarding “Beneficiaries that Request Termination of a WCMSA
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Medicare Set Aside Allocations and Professional Administration

Do you have a case that involves a Medicare Set Aside allocation? Find out how professional administration can help you!
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Choosing an Administrator for Your MSA Account

Learn all about the factors that go into choosing your Professional Administrator for a Medicare Set Aside!
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Life Expectancy in Workers’ Compensation Medicare Set-Asides Proposal

The purpose of this memorandum is to include policy regarding the exclusive use of the Centers for Disease Control (CDC) Table 1 (All American Table) when determining life expectancy...
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Special Needs Trust: Medicare Set Asides 101

Learn all about Special Needs Trusts, and how you can determine if your case is a good fit to use with your Medicare Set Aside!
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Top 5 reasons to Settle Your Case

Find out why settling your case with Ametros on your side will make you happier, healthier, and more productive.
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CareGuard Onboarding Guide

Our team walks you through the onboarding process to ensure you are taken care of and teaches you how to smoothly navigate your funds once becoming a member.
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Humanity in Worker’s Comp

Ametros' CEO, Marques Torbert, presented at Comp Laude about why practicing humanity in the workers' compensation world is so important.
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Guidance for Submission of a WCMSA Proposal

This memorandum reiterates guidance provided in CMS’ July 23, 2001, July 11, 2005, and April 25, 2006 procedure memoranda regarding CMS’ WCMSA) proposal review thresholds...
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Reduce Your Risk of Exhausting Funds

Find out how CareGuard can reduce your risk of running out of settlement funds.
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What Happens After Settlement?

Find out how CareGuard can help you manage and track your medical funds after settlement.
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Amethyst Trifold Brochure

Amethyst can help you maximize your settlement funds. Learn more in this easy-t0-read trifold brochure!
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CareQuote Guide

Download the CareQuote guide to find out how transparency into post-settlement pricing can help injured parties feel more comfortable with settlement!
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Social Security Program Operations Manual System (POMS)

Click here to navigate to the Social Security's official Program Operations Manual System (POMS)
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US Department of Labor: Division of Longshore and Harbor Workers’ Compensation

Click here to navigate to the official website of the US Department of Labor: Division of Longshore and Harbor Workers' Compensation (DLHWC)
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Amethyst One Pager

This one pager will show the different benefits that Amethyst has to offer not only to injured parties, but to everyone involved in the settlement process.
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Medicare Set Asides FAQs

Find out the most common questions about Medicare Set Asides in this downloadable version of Medicare Set Asides FAQs!
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Product Comparison

Trying to decide if CareGuard or Amethyst is the right choice for you? Download the product comparison guide to see the different features of each!
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Workers’ Compensation FAQs

Find out the most common questions about Workers' Compensation in this downloadable version of WC FAQs!
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Structured Set-Aside Arrangements

A WC Medicare Set-aside Arrangement can be established as a structured arrangement, where payments are made to the arrangement on a defined schedule to cover expenses projected for future years.
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Prescription Drugs for Medicare Beneficiaries

The purpose of this memorandum is to clarify guidance provided in the Centers for Medicare & Medicaid Services’ April 3, 2009 and July 1, 2009 procedure memoranda regarding prescription drugs...
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Part D and Workers’ Compensation MSA: Questions and Answers

This memorandum includes policy regarding the inclusion of prescription drugs that Medicare will cover as of January 1, 2006, in Workers’ Compensation Medicare Set-aside Arrangements (WCMSAs).
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Workers’ Compensation Frequently Asked Questions (Part 4)

Use of WC Fee Schedule vs. Actual Charges for WC Medicare Set-aside Arrangement? Self-administration of a WC Medicare Set-aside Arrangement?
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Workers’ Compensation Frequently Asked Questions (Part 3)

Clarification of WCMSA Non-beneficiary Threshold.
Low Dollar Threshold for Medicare Beneficiaries.
Use of WC Settlement Funds Prior to Medicare Entitlement...
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Workers’ Compensation Frequently Asked Questions (Part 2)

What are the review thresholds set by the July 23, 2001 All Associate Regional Administrators (ARA) letter concerning WC Commutation of Future Benefits?
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Workers’ Compensation Frequently Asked Questions (Part 1)

When dealing with a WC case, what is "a reasonable expectation" of Medicare enrollment within 30 months?
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Medicaid Tools and Guidance

Click here to navigate to Medicaid's official tools and guidance resources.
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Chapter 3: MSP Provider, Physician, and Supplier Billing Requirements

Limitation on Right to Charge a Beneficiary Where Services Are Covered by a GHP...
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Chapter 2: MSP Provisions

Medicare Secondary Payer Provisions for Working Aged Individuals...
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Chapter 1: MSP Background and Overview

In 1980, Congress enacted the first of a series of provisions that made Medicare the secondary payer to certain additional primary plans.
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Medicare Secondary Payer Recovery Portal User Guide – July 2, 2018 v4.2

The Medicare Secondary Payer Recovery Portal is a secure web-based application that provides the ability to access and update certain Medicare Secondary Payer case-specific information.
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Medicare’s Website

Click here to go to Medicare's official website.
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Special Needs Trust Resource: Special Needs Alliance

Click here to navigate to the the Special Needs Alliance official website.
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Medicaid’s Website

Click here to navigate to Medicaid's official website.
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Exclusions from Coverage and Medicare as Secondary Payer

Notwithstanding any other provision of this title, no payment may be made under part A or part B for any expenses incurred for items or services...
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CMS Prescription Drug Set-Aside Guidance for Submitters

Evaluating the sufficiency of the prescription drug component of WCMSAs; required documentation; tapering of drug use; expiration of patents; off-label use; drug utilization review...
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Rated Age Language

This memorandum clarifies Rated Age (RA) language to be included on WCMSA proposals.
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Workers’ Compensation Commutation of Future Benefits

This memorandum replaces the policy that was outlined in the answers to questions in the all associate regional administrators (ARA) memorandum.
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Workers’ Compensation Point of Contact List

New Regional Offices Point-of-Contact if your Workers' Compensation Claim is Pending
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Common Questions

We've compiled a list of some of the most common questions we receive and answered them all here!
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When to Involve a Professional Administrator

This guide shows the different triggers and scenarios when professional administration can be beneficial in helping cases move toward settlement!
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Member Testimonials

Hear from real members using CareGuard & Amethyst, learn about their experiences, and find out how our settlement solutions have helped them post-settlement!
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When to Involve Us Checklist

We made this quick easy-to-use checklist to determine what cases are fit for Ametros!
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Webinar: Life After Settlement

Led by Melissa Wright & Johnny Meyer, this in-depth webinar shows you what injured parties can expect after settlement.
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Ringler Radio: Simplify Medical Expenses

We've debunked common myths about Medicare Set Aside Professional Administration just for you! Get the facts by downloading our guide now!
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Product Overview Deck

This PowerPoint Deck gives an in-depth introduction to Ametros and our post-settlement solutions!
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Amethyst Trifold Brochure (Spanish)

¡Descarga este folleto para ayudarle a entender todos los beneficios de nuestro servicio de autoadministración, Amethyst!
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Amethyst Attorney Guide

Download this guide to find out how you can ensure your clients and their funds are fully protected after settlement!
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Amethyst One Pager Guide (Spanish)

Conozca todo sobre cómo comenzar con Amethyst, incluido cómo navegar por el portal y obtener soporte para sus necesidades.
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CareGuard Trifold Brochure (Spanish)

¡Descubra todo lo que necesita saber sobre cómo proteger sus fondos de asentamiento con CareGuard!
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CareGuard Guide (Spanish)

¡Aprenda cómo CareGuard puede ayudar a maximizar sus fondos médicos después de la asentamiento!
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CareGuard Trifold Brochure

Find out all you need to know about protecting your settlement funds with CareGuard in this Trifold Brochure.
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CareGuard Attorney Guide

Protect your client and their funds with CareGuard: Ametros' professional administration service that ensures 100% MSA compliance.
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CareQuote Turnaround Times

We have fast turnaround times for prescriptions, home and facility healthcare, and DME! Find out how you can leverage CareQuote.
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Member Testimonial: Charron

Hear from our member, Charron, as she shares her experience with CareGuard, and how she has benefited from using our professional administration service!
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Welcome to Amethyst

Amethyst is a self-administration tool that secures discounted pricing- avg. 21%- for members on prescriptions, medical equipment purchases, doctor and hospital bills.
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Welcome to CareGuard

CareGuard is the industry’s first fully-automated, affordable solution to professional administration for medical settlements and Medicare Set-Asides.
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How Do You Pronounce Ametros

Being a Boston based company, we understand that pronunciation is wicked hard. Ah-met-tros? Am-tross? A-metro-s? Find out how to say our company name.
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Common Misconceptions: MSA Administration

We've debunked common myths about Medicare Set Aside Professional Administration just for you! Get the facts by downloading our guide now!
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Ametros Funds Protection

Find out how your funds will be completely secured and what you can expect with our top-notch security platform.
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Ametros & Trusts

In this guide, we share the reasons you should combine a trust with Ametros so you can save as much as possible.
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Benefits Advisory Guide

Learn how our full-service benefits advisory team to help all parties involved understand how to preserve their benefits!
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MSA 101: When to Engage a Professional Administrator

Find out the benefits of Professional Administration. We'll answer some common questions regarding Professional Administration.
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Step by Step Guide to Professional Administration

Learn all about Professional Administration and its benefits in 7 easy-to-follow steps.
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