Who We Are
AXIOM NATIONAL provides a complete line of Medicare Compliance and Settlement Planning services to the workers’ compensation and liability claims marketplace. Axiom National enables clients to effectively, confidently and efficiently close claims while complying with all Medicare Secondary Payer regulations. We partner with our clients to deliver the following Medicare compliance and settlement planning services: Provisional Medicare Set Aside(PMSA), Clinical Intervention Service(CIS), Peer to Peer Review(P2P), Medicare Set-Aside(MSA), MSA Submission to CMS, Medical Cost Projection, SSDI/Medicare Status or Conditional Payment Inquiry, Conditional Payment/Lien Negotiation with CMS and Structured Settlement. Whether you are a workers’ compensation or liability insurance carrier, TPA, self-insured entity or attorney – look to Axiom for innovative and unique solutions to your Medicare compliance challenges.
Our firm’s focus and passion is to produce the highest quality products and services, provide unmatched customer care and to deliver exceptional results. In every case, on every referral – we strive to exceed your expectations.
Provisional Medicare Set Aside(PMSA)
This abbreviated MSA allocation provides an accurate projection of the future cost of medical care in a workers’ compensation or liability settlement. This product is intended for planning and evaluation purposes in cases where the Social Security Disability status and/or Medicare eligibility status…
Clinical Intervention Service
Our Clinical Intervention Service is aimed at gaining clarity from a primary treating physician on recommended treatment or procedures or surgeries, obtaining missing medical documentation, clarifying whether certain medications are currently being prescribed, etc.
Peer to Peer Review
Our Peer to Peer(which includes a Drug Utilization Review) involves treating physician intervention by a like physician to address medically necessary and appropriate treatment and/or medication prescribing as a quality of care issue.
Our Medicare Set Aside product(Workers’ Compensation/Liability) allows our customers to settle cases with confidence. Our MSA’s produce the lowest, most realistic allocation amounts while providing a report that will withstand CMS scrutiny.
MSA Submission to CMS
Once Axiom has completed the WCMSA/LMSA and receives a request from our client for CMS review and approval, the necessary documentation is prepared and submitted to CMS. This service includes resubmission of the case to CMS for reconsideration, if necessary, and following the process through all the way to approval.
Medical Cost Projection
Our Medical Cost Projections provide the claims professional with an unbiased third-party estimation of the future cost of care. It is a useful tool for setting accurate reserves and can be a key component for settlement negotiations.
SSDI/Medicare Status or Conditional Payment Inquiry
Conditional Payment/Lien Negotiation with CMS
Identifying and resolving CMS conditional payments and liens is at the heart of Medicare Secondary Payer Act compliance. Let our professional staff bring resolution to any conditional payment or lien issues your company may have.
Structured settlements offer many benefits to all parties when it comes to settlement of a workers’ compensation or liability claim file. For carriers and insured’s, a structure can represent significant cost savings versus a lump sum payment.