Last year, SB 1175 joined SB 1160 in a one-two punch of workers’ comp reform. Amidst the continuing brouhaha about liens and fraud prevention, we want to remind providers about the new one-year deadline for original bill submission. Applicable to both medical and medical-legal services, the new billing requirement became effective on January 1st, 2017. The timely filing requirement is not retroactive to services rendered before 1/1/2017.
SB 1175 timely filing deadlines apply to all providers of services provided pursuant to Section 4600, including, but not limited to physicians, hospitals, pharmacies, interpreters, copy services, transportation services, and home health care services.
This and other timeline requirements from the Division of Workers’ Compensation (DWC) mean that timeliness isn’t just good practice, it’s the law of the land. To be sure that providers and claims administrators are compliant, we compiled the following SB 1175 Summary:
Services
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SB 1175 Section Amended Labor Code |
Requirements |
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SB 1175 Section 1 Labor Code §4603 |
Submit bills for medical services within 12 months of the date of service (DOS), for all DOS on or after January 1, 2017.
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SB 1175 Section 3 Labor Code §4625 |
Submit bills for medical-legal evaluation and related medical-legal services within 12 months of the date of service, for all DOS on or after January 1, 2017.
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Should the current acting Administrative Director of the DWC adopt any further timely filing regulations pursuant to SB 1175, we will post updates. For now, DaisyBillers can use the Bill History feature to access proof of timely filing by providers, and of acceptance of bills by claims administrators.
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