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
We listened. We heard you. We’ve got the solution. WE ARE PROUD TO ANNOUNCE that we’ve partnered with INSURCARD MSA Debit to bring you a TOTAL payment solution to comply with Medicare Secondary Payer regulations. InsurCard is more than just a debit card; it’s a… Read More »Care Bridge International and InsurCard MSA
At times, when settling a disputed or denied claim, parties to the settlement opt to obtain a zero-dollar Medicare Set Aside (MSA) Allocation. A zero-dollar MSA simply means that a thorough narrative report, based on the medical/ legal facts of the claim, is presented to… Read More »When a Zero-Dollar Medicare Set Aside Isn’t Enough
What does agility mean to you and your organization? The pandemic has put the spotlight on many teams and their ability to innovate and launch products at speed. There are many components that together define how quickly a company can react and how those components… Read More »The Path to Agility
On January 10, 2022 CMS Released an updated WCMSA Reference guide adding a new section, Section 4.3, entitled “The Use of Non-CMS-Approved Products to Address Future Medical Care.” Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 3.5, January 10, 2022). Section 4.3 The Use of Non-CMS-Approved… Read More »CMS Announces Additional Clarification Regarding Non-Submit MSAs
A question for the reader – what comes to mind when you think about the claims experience? THE EMOTIONAL JOURNEY I have talked a little bit in the past about claims being perhaps the most emotional phase of the insurance lifecycle. In an industry that… Read More »Creating a Compassionate Claims Journey