Using the POWER of DATA for Accuracy in Compliance Are you frustrated with Medicare Set Aside results? Do MSAs often preclude settlement? We randomly polled carriers, third party administrators, self- insured employers, and state / mutual funds in 2016 and out of 36 respondents,… Read More »Analytic-Powered Medicare Set Asides:
The Centers for Medicare and Medicaid Services (CMS) released an updated Section 111 NGHPUser Guide (Version 6.9, October 3, 2022) regarding non-group health plans (liability, no-fault and workers’ compensation) Section 111 reporting. User Guide updates were made to Chapter IV (Technical Guidance) and Chapter V (Appendices). Section 111 excluded valid diagnosis codes that… Read More »Medicare and Medicaid Services (CMS) UPDATE
Centers for Medicare and Medicaid (CMS) Townhall at WCI: A Summary Brief In case you missed Workers Compensation Institute’s 76th Annual Education Conference in Orlando, August 21-24, there was an interesting panel discussion with leaders from the Division of MSP Program Operations at CMS including… Read More »The Right Solution at the Right Time
At Care Bridge International, WE are DRIVEN by PEOPLE, PROCESS, TECHNOLOGY, and DATA Since 2015, we’ve put our data to the test and have refined our products and services by having a team in place that ACTUALLY KNOWS the depth and breadth of claim knowledge… Read More »We’ve Got the Tools to Get the Job Done.
There’s no denying it. Summer is in the air! The days and weeks ahead of family vacations, weekend getaways, or just enjoying a good book on a beach with the sound of lapping waves to keep you company are fast approaching. We have just one… Read More »Are YOUR CLAIMS Ready for Your Summer Break?
Last week, we spoke about the lack of transparency and compliance with Medicare Secondary Payer (MSP) in the Property & Casualty claims environment, and the reasons for that. Did you also know that despite all the “pats on the back” for underwriting profitability with… Read More »Your Workers Compensation Program Has a Claim Problem
Do your claim professionals recognize a claim involving a Medicare Beneficiary in 2022? Do they understand the full scope of Medicare’s regulatory requirements to consider at the time of settlement? Do your claim professionals recognize the monetary and reputational risk involved if they fail to… Read More »Are You at RISK of Medicare Secondary Payer NON-Compliance in 2022?
Last week was my first time stepping back on stage for over two years. This time it was with the Reuters team at Insurance AI and Innovative Tech USA 2022. Stepping back out from behind the camera and into the more traditional role of an… Read More »Reuters, AI & Analytics USA - Stepping into The (Un)known
As a data-driven company, we measure and watch the Centers for Medicare and Medicaid Services (CMS) Workers’ Compensation Review Center (WCRC) where workers compensation MSA (Medicare Set Aside) determinations are made. We compare each CMS determination against Care Bridge International’s proposed MSA for accuracy. A… Read More »BEWARE! Errors in the CMS MSA Review Process
YOU CAN BE fast and accurate! Calculating medical reserves is an important part of the workers compensation claims process, but it has historically been inaccurate and time-consuming. According to the American Society of Actuaries, in the past 4 decades, 100 insurance companies became insolvent mostly… Read More »Analytic-Powered Medical Reserve