In workers’ comp, even the tiniest administrative oversight can cause billing delays, denials, or disputes later on. The provider's first line of defense is to capture the right information at patient intake every time.

To help, we created a downloadable, fillable Injured Worker Intake Form designed specifically for Texas providers who treat injured workers. This form:

• Includes all billing data required by the Texas Division of Workers’ Compensation (TX DWC)
• Prompts practice staff to get additional information essential to avoiding administrative snags
• Ensures that providers ask the most important Texas-specific questions regarding workers' comp coverage and network applicability

Download your free copy below. It's our gift to the providers in Texas who are willing to give injured workers the care they need despite the administrative hurdles.

Download: TX Injured Worker Intake Form

Download your copy of the form below here—you’ll be glad you did!

TX Injured Worker Intake: Critical Questions

A strategic intake form like the one above is essential due to the quirks of the Texas workers’ compensation system.

Unlike in every other state, workers’ compensation coverage in Texas is optional. Some employers do not have workers' compensation coverage (!) despite the liability risks. If the employer does carry coverage, it may restrict its injured employees to seeking treatment within one of Texas' 26 certified Workers’ Compensation Health Care Networks (HCNs).

About half of injured worker treatment in Texas occurs within a network. This is critical information—because, in Texas, network treatment is an entirely different animal.

For network treatment, reimbursement does not have to adhere to the TX DWC's Medical Fee Guideline rates. Rules for authorization, billing, and dispute procedures can vary between networks, which are not subject to many TX DWC regulations.

Bottom line: providers need to know, at intake:

• If the injured worker must seek treatment within a network
• If so, which network
• If the provider is in-network—and if not, if one of the out-of-network exceptions applies

These aren’t abstract questions. They may determine whether or not your bills get paid.

This form asks the right questions clearly, up front. It’s a small investment of time that protects your practice from a host of avoidable problems later on. Download your copy, instruct your staff to use it, and give your practice an important tool to get billing right from the start.

Nationwide, daisyBill takes the admin hassle out of treating injured workers. Click below to see how smooth billing can be.

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