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Download: Med-Legal Graphic Workflow (With Modifiers)

Download: Med-Legal Graphic Workflow (With Modifiers)

Effective April 1, 2021, the Division of Workers’ Compensation adopted an all-new Medical-Legal Fee Schedule, complete with new billing codes and modifiers. Like many things in workers’ comp, the rules for applying the new Med-Legal codes and modifiers can get complicated — to say the least.

That’s why we created a handy workflow graphic for providers and their staff, available for download below. Use it as a quick reference guide to ensure you’re applying the right codes and add-ons in the proper units to reflect the services rendered.

Consider it our gift to you!

2021 Medical-Legal Fee Schedule Workflow

For a (very) thorough breakdown of the new MLFS codes, modifiers, and rules, see our MLFS Cheat Sheet.

For day-to-day billing, simply refer to the chart below, which you can download here.

Follow this blog for any updates or news regarding Medical-Legal billing in 2021. For helpful information regarding MLFS disputes, see our MLFS Claims Administrator Report Cards.


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