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Axiom National2019-04-16T15:06:16-04:00

Your Medicare Compliance Solutions Partner

Who We Are

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.

Recognized expertise, unmatched attention to detail and creative problem solving allows Axiom National to provide extraordinary advocacy for its clients. Our service delivery model has been designed to better meet the needs of our clients and offers a solid alternative to the outmoded, traditional “mass production” model.

Whether you are a workers’ compensation or liability insurance carrier, Third Party Administrator, self-insured entity or attorney – look to Axiom National for innovative and unique solutions to your Medicare compliance challenges. We deliver the service you expect, have the resources you need and the expertise to get the results you want.

Services

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…

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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.

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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.

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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.

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SSDI/Medicare Status or Conditional Payment Inquiry

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

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.

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Do I Need An MSA?

Per CMS memorandum of July 11, 2005, Medicare's interests must be considered when settling any Workers' Compensation case - even if the review thresholds are not met. This criteria also applies to denied claims.

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CMS Memo Library

Find All CMS Memorandums here
NAMSAP