What We Do

Axiom National, LLC is a boutique Medicare compliance and settlement planning consultancy catering to the workers’ compensation and liability claims marketplace. Our primary focus is to enable our clients to confidently and efficiently close claims while complying with all Medicare Secondary Payer regulations.

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…

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Medicare Set Aside (MSA)

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.

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CMS Submission

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.

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Abridged Cost Projection (ACP)

Axiom National’s Abridged Cost Projection (ACP) is designed to provide the claims professional and/or defense counsel with a detailed, accurate projection of all the current and follow up costs associated with one of the following: specific surgical procedure, prosthetic device, durable medical equipment (DME), medical device, or infusion therapy. This service is utilized by our clients principally for establishing medical reserves or settlement evaluation.

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Medical Cost Projection (MCP)

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. Medical Cost Projections are for those claims where a WCMSA/LMSA is not yet appropriate.

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SSDI/Medicare Status or Conditional Payment Inquiry

Axiom will quickly confirm if a claimant has applied for Social Security Disability Benefits. Application for and/or approval of Social Security Disability Benefits means the claimant meets Medicare’s “reasonable expectation of Medicare eligibility within 30 months” threshold, in which case completing and funding a Medicare Set Aside is recommended. We will also quickly determine if a claimant is a current Medicare beneficiary, and whether CMS is alleging they have made Conditional Payments on the claimants behalf and if they are asserting a lien

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Conditional Payment Lien Dispute

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.

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Structured Settlement

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. For plaintiffs and their attorneys, a structure represents security and peace of mind.

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Our Referral Process

We strive to make our referral process convenient and simple. To utilize Axiom’s online upload referral system, follow the EASY step by step directions below:

  • 1. Click Submit Referral Button

  • 2. Complete Referral Form

  • 3. Attach/Upload Necessary Documentation

  • 4.Click Submit and you're done!

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What We Offer

With Axiom you can expect:

Detail Oriented Approach

  • We bring a Detail Oriented Approach to Medicare compliance, meaning we consult with our clients to understand your needs and objectives on every file.

Critical Thinking Skills

  • We exercise Critical Thinking skills. Sounds easy enough. However many MSA companies do not. We pay attention to detail, ask questions and employ a common-sense approach to ensure MSA allocations are fair, reasonable, and adhere to CMS trends and guidelines.


  • We offer Flexibility – we can tailor our approach based on our client’s tolerance for risk. We seek to understand our client’s tolerance for risk and provide solutions accordingly. Many MSA vendors in the marketplace are entirely inflexible.

Actionable Recommendations

  • We provide meaningful, actionable Recommendations to reduce cost drivers and we work with our clients to obtain documentation to support reductions in the MSA.


  • Our Expertise – we will advise and help you implement a program with regards to CMS submission of your MSA’s. Whether you submit none, some or all of your MSA’s that meet CMS submission thresholds, we can tailor a program that meets your comfort level and tolerance for risk, and that allows you to achieve successful claim resolution.

Straight Talk

  • We provide Straight Talk based on current CMS guidelines and trends. There are MSA vendors in the marketplace who utilize “percentage approach” MSA’s or who arbitrarily reduce MSA’s and then have their clients purchase an insurance policy to protect them from CMS. These approaches are ill-advised, risky, and contrary to CMS guidelines. This is not how Axiom advises their clients.  We do not cut corners that can create unwanted consequences down the road.
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Why Choose Us


% of MSA's Approved by CMS 'as submitted'


% Zero Allocation/Waiver success rate


% Conditional Payment Dispute success rate

Our Founder

Geoffrey C. Hudson,  CEO, MSCC Axiom National, LLC

Geoffrey Hudson is an entrepreneur and business leader with more than 30 years of experience in the property & casualty insurance, workers’ compensation insurance and healthcare industries.  He has worked with both carriers and TPA’s in numerous roles of increasing and progressive responsibility.  In 2008, he founded Axiom National, LLC, a service-oriented, boutique Medicare compliance consultancy offering an alternative to the big box, “cookie cutter” MSA companies. Axiom provides a complete line of Medicare Compliance and Settlement Planning services to the workers’ compensation and liability claims marketplace.


Geoffrey is a lecturer certified by the State of Florida to provide continuing education credits to Florida insurance and legal personnel.  He holds the Medicare Set Aside Certified Consultant designation(MSCC) and is active in numerous industry associations including WCI, RIMS, PRIMA, WCCP and the National Association of Medicare Set Aside Professionals(NAMSAP).


Geoffrey is a graduate of Florida State University and is participates in numerous volunteer and philanthropic pursuits.

Charitable Giving

As a responsible corporate citizen, Axiom is committed to donating a percentage of their earnings to charitable organizations, including St. Jude Children’s Research Hospital, Shriner’s Hospitals for Children, The American Cancer Society as well as many other local and regional charitable organizations that are important to our many clients.  “For unto whomsoever much is given, of him shall be much required.”

Case Studies

Case Study Mr. Smith

Case Study Ms. Pratt

Case Study Mr. Perez

Case Study Ms. Jones


What our clients say

Some of our clients

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