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Radiology Coding Alert

Reader Questions:

Find State Patient Injured in for WC

Published on Sat Nov 06, 2010

Question: We had a patient who was injured on the job (workers' compensation) in Virginia just a week before he moved to Delaware where our practice is. Should we follow Delaware or Virginia workers' compensation rules?Delaware SubscriberAnswer: This claim falls under the Virginia workers' compensation (WC) rules because that is where the injury occurred and where the patient should file the WC claim.This is often the biggest area of WC confusion because WC is a state-run program. Each state has its own rules, fee schedule, and setup for which providers the patient can see. Therefore, there is no clear guideline, as it is different from state to state, and contract to contract.Golden rule: You need to follow the rules of the state in which the patient originally filed the WC claim. That may or may not be the same as the patient's current state of residence. You may encounter cases [...]
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