Care Bridge International strives to not only bring you the most accurate and cost-saving services, but also to keep you up to date on the most important news in our industry. 

Conditional Payments 101 and a New CMS Electronic Payment Announcement!

Ever wonder why it is so difficult to resolve Centers for Medicare and Medicaid Services (CMS) conditional payments for non-group health plans? We have some thoughts and tips that will help you better manage this Medicare Secondary Payer compliance risk. What is a conditional payment? Medicare will often pay for any or all Medicare-covered medical expenses, even when a primary payer exists, to ensure that a Medicare beneficiary receives timely access to needed care. Later, at the time of settlement, judgment, or award, Medicare will seek to recover all payments made, thus the term “conditional” payment. Medicare only pays “conditionally” and has a statutory right to recover those funds. The

Business Insurance, U.S. Insurance Awards Night

March 21, 2019 The Business Insurance Awards night held in New York City on March 21, 2019, was a night to remember for many organizations who have worked hard to bring more value, innovation, and heart to the Property and Casualty Insurance Industry. The opulent setting at 583 Park in Manhattan set the stage for honoring individuals and companies making a difference in 2018. As the Founder and CEO of Care Bridge International, I took my seat along side our Co-Founder and Chief Analytics Officer, Jim Paugh, at Table number 15, following a jovial cocktail hour. We were entertained by a local comedian between awards, creating a relaxed and engaging atmosphere. We were excitedly awaiting the

2019 Workers' Compensation Research Institute’s (WCRI) 35th Annual Issues & Research Confere

As an artificial intelligence (AI) company setting a new standard in forecasting medical treatment and costs for claims, it’s our business to be informed about trends in medical exposure in the workers compensation insurance sector. Naturally, we are focused on the data presented on this topic. In an analysis of state differences and trends across 18 states, it was found that more surgeries related to workers compensation accidents/ injuries, are occurring on an outpatient basis, consistent with trends found in group health. While the frequency of surgeries decreased across many states, there is a wide variability in facility fees costs. Outpatient facility fees represent a median 17% of the

Care Bridge International Measures the Results of the New Workers Compensation Review Contractor

It has been one year since Capitol Bridge began its new role as the Workers’ Compensation Review Contractor (WCRC), responsible for the review and approval of Medicare Set Asides (MSAs), after receiving a record-breaking $60M Federal contract. This contractor was selected, replacing Provider Resources, Inc., to recover future medical costs from primary payers, involving Medicare beneficiaries, or individuals with a reasonable expectation of receiving Medicare benefits within 30 months. As a data analytics company, Care Bridge International has quantified and compared its performance against prior WCRC review practices. This one-of-a-kind analysis of the effectiveness and accuracy of the cur

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