workers compensation

  1. R

    Wiki Workers Compensation

    What is the correct way to bill PA’s and NP’s for E&M codes and Level 1 CPT codes for Workers Compensation in Masshachusetts? When billing PA’s, do we bill them as the rendering provider and have their NPI and Taxonomy code in field 24J on HCFA1500 and use modifier SA ? Will work comp accept...
  2. A

    Wiki How to bill source patient labs to workers compensation insurance?

    I work for an Occupational Health clinic in Illinois and we are trying to figure out how to bill bbp exposure source patient labs to workers comp insurance. These labs were not drawn from the claimant but from the patient whose blood the claimant was exposed to. Does anybody have any information...
    • alwilder
    • Thread
    • bbp labs billing insurance source patient source patient labs workers compensation
    • Replies: 1
    • Forum: Billing/Reimbursement
  3. L

    Wiki Workers Comp Question

    I am new to worker's comp claims because most clinics I have worked for didn't accept workers comp. I have a patient that has come in multiple times for visits and each time we have a difficult time getting the claim to pay and have to usually appeal each visit. My doctor wants to know if we can...
  4. R

    Wiki Nebraska Work Comp Claims

    As an ASC in Nebraska, are we required to accept the Nebraska Work Comp fee schedule rates as payment? If not, then what is the process....as in do we need to "contract" with each work comp payer that comes in to get a better rate?
  5. A

    Wiki Modifier for 99080 billing TX Work comp SOMR

    Hello - Does anyone know where I can find a list of appropriate modifiers for Texas work comp. We filled out the DWC073 and DWC069 stating the patient could now return to work. We billed our E/M code as well as the 99080 but used modifier 73. SOMR has kicked it back for the procedure code...
    • ACollison
    • Thread
    • modifier work comp workers compensation
    • Replies: 0
    • Forum: Modifiers
  6. B

    Wiki New York Workers Comp Billing for Anesthesia

    Hi, Our office typically bills anesthesia (provided in ASCs) in the State of NJ. We're now providing services in NY state, and I understand that are some caveats to billing workers comp carriers. I've been told that we cannot bill U&C, but instead we must bill based on the fee schedule...
  7. S

    Wiki Medicare Set Aside Exhausted - Private Insurance Required Auth

    Has anyone else had a patient with a third party administering the patient's Work Comp Medicare set-aside account, and the funds became exhausted, and your office was not notified? This company actually issued an EOB, but never funded the amount allowed on the EOB. The additional issue here is...
  8. J

    Wiki Rating code for an out of state (CA) workers comp patient? Help?

    We typically use the 99455 rating code for our patients. One of our patients has an out of state California workers comp case. And the rating, ( as well has the nurse case manager conference 99366 ), are getting denied. We were told to re-bill with CA RVS codes ? And that those codes we used...
  9. M

    Wiki Workers Comp and New Patient Coding Guidelines for Family History

    Recently I have had a provider tell me that they were educated to not ever document family history for a workers comp encounter. I see how family history would most likely never be relevant to a work related injury. However, what do you do when it's a "new" patient level of service that requires...
  10. A

    Wiki Psychotherapy billing to NYS Workers Compensation

    Help! For the first time I am billing a psychotherapy client to workers compensation. We used the 90834, however, the comp carrier is denying stating the code is invalid for the date of service. I can find nothing in the comp fee schedule and the carrier can provide us with no further...
  11. J

    Wiki 99455

    Hello. A patient came in for a rating. So our doctor wants to bill 99455 for the rating but in the dictation it is noted that the patient does not qualify for any permanent or partial disability. The patient doesn't technically have a "rating" because the patient can return to work full-time and...
    • JMichelle
    • Thread
    • 99455 office visit rating w/c workers compensation
    • Replies: 1
    • Forum: E/M
  12. K

    Wiki Drug Screen coding for workers compensation

    I need to code a "collection only" code for a workers compensation claim. In the past we have billed 80100 as the collection only, but that code has been deleted. Does someone know what code to use for that service? Also, we provide the collection, lab, and MRO fee for workers compentsation...
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