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Billing Education
Jun 8, 2018
3 min read
0
CorVel Error: Incorrectly Reimbursed ASC Services
CorVel Corporation, a national third-party administrator, incorrectly reimbursed multiple California workers’ comp providers for Ambulatory Surgical Center (ASC) services, at...
May 31, 2018
3 min read
0
Institutional Billing: How to Find Your Conversion Factor
For institutional billing, identifying the correct conversion factor is key to saving time and billing accurately.The Hospital Outpatient Departments and Ambulatory Su...
May 30, 2018
3 min read
0
Workers’ Comp Billing Error: Resubmit or Request Second Review Appeal?
Mistakes happen. When a provider accidentally submits an original bill that contains an error, taking the appropriate action is key to avoiding further delay in reimbu...
May 25, 2018
3 min read
0
Data Reveals Importance of Second Review Appeal for Providers
The claims administrator’s Bill Review does not always recommend the correct reimbursement on the first try. Our second review appeal data reveals a staggering amount of reve...
May 17, 2018
3 min read
0
No Response? How to Deal with Ignored Bills
It happens far too often: providers treat an injured worker for a California employer, send the bill to the claims administrator, and then...nothing. Workers’ comp is ...
May 16, 2018
2 min read
0
FYI: Workers’ Comp Telemedicine Reimbursed at Facility Rates
In California and elsewhere, telemedicine isn’t just the future — it’s the present. Of course, this shift to increasingly virtual services means unique new wrinkles in the wo...
May 2, 2018
2 min read
0
DME: Invoice Not Required for (Most) Durable Medical Equipment
Too often, we see claims administrators demand extraneous paperwork from providers, adding unnecessary friction to the workers’ comp billing and payment process. One example ...
Apr 13, 2018
4 min read
0
“By Report” Billing Codes: Best Practices for Proper Reimbursement
When the Official Medical Fee Schedule (OMFS) assigns the reimbursement for a procedure code as “By Report” (BR), establishing the correct payment amount is one of the tricki...
Mar 28, 2018
1 min read
0
PR-2 Report Made Easier: Fillable and Downloadable PR-2 Report Form
Last month, we highlighted the importance of the Treating Physician’s Progress Report, which providers must use to document services rendered. This crucial bit of paperwork, ...
Mar 23, 2018
3 min read
0
Automatic Authorization: Late Bill Submission Does Not Bar Payment
Workers’ comp providers, be warned: payors are incorrectly denying bills for automatically authorized services due to untimely submission.Untimely submission is not gr...
Mar 13, 2018
4 min read
0
How Workers’ Comp Payments By Credit Card Hurt CA Providers
Accepting credit cards from patients for co-pays and deductibles is one thing, but it makes zero financial sense for California providers to accept credit card payments from ...
Mar 5, 2018
3 min read
0
CPT 97750 for Functional Capacity Exams: Medically Unlikely Edits
Providers sometimes run into trouble when billing Current Procedural Terminology (CPT) Code 97750. Providers use this procedure code to bill for functional capacity exams, in...
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