work comp

  1. R

    Wiki Workers Compensation

    What is the correct way to bill PA’s and NP’s for E&M codes and Level 1 CPT codes for Workers Compensation in Masshachusetts? When billing PA’s, do we bill them as the rendering provider and have their NPI and Taxonomy code in field 24J on HCFA1500 and use modifier SA ? Will work comp accept...
  2. S

    Wiki Assisting Surgeon for WC claims

    Hello, My Provider is a CST (certified surgical tech) & CSFA (certified surgical first assist). She has been assisting with some WC claims and we are having issues with getting paid. We bill with an -AS modifier for ALLLLLLLL carriers. When I bill them to WC it gets denied for: Invalid...
  3. L

    Wiki Workers Comp Question

    I am new to worker's comp claims because most clinics I have worked for didn't accept workers comp. I have a patient that has come in multiple times for visits and each time we have a difficult time getting the claim to pay and have to usually appeal each visit. My doctor wants to know if we can...
  4. 5

    Wiki office visit with chronic pain management

    Hello, Our provider feels his office visits support a 99214 due to pain management with patients that are being treated with pain meds. The patient has a work comp approved claim. The provider documentation has ROS of 7 systems, pain assessment with location, rating, description of pain...
    • 574coding
    • Thread
    • down coding pain management work comp
    • Replies: 0
    • Forum: Anesthesia
  5. A

    Wiki Workers Comp Non-covered Services

    I work for a group of Urologist. 51798 is not on the Workmans comp fee schedule and I cannot find an alternative code to cover service. Can we legally bill the patient for non-covered cpt codes/services ? Can you attach a link that explains rules for billing workmans comp and supports the...
  6. K

    Wiki billing L&I

    I really need some help. The urgent care clinic that I work for uses a national billing company. This company is billing all of our new L&I claims as new patients even if they are established patients with us. When I objected they took it to the person who is the head of their entire billing...
  7. A

    Wiki Modifier for 99080 billing TX Work comp SOMR

    Hello - Does anyone know where I can find a list of appropriate modifiers for Texas work comp. We filled out the DWC073 and DWC069 stating the patient could now return to work. We billed our E/M code as well as the 99080 but used modifier 73. SOMR has kicked it back for the procedure code...
    • ACollison
    • Thread
    • modifier work comp workers compensation
    • Replies: 0
    • Forum: Modifiers
  8. A

    Wiki Texas Work Comp Modifiers for 99080

    Hello - Does anyone know where I can find a list of appropriate modifiers for Texas work comp. We filled out the DWC073 and DWC069 stating the patient could now return to work. We billed our E/M code as well as the 99080 but used modifier 73. SOMR has kicked it back for the procedure code is...
  9. K

    Wiki car accident billing

    I had a patient come in to our urgent care today who wanted to be seen for injuries sustained in a car accident. She said she didn't intend to open a claim with her auto insurance and wanted us to bill her medical policy. I explained that we only accept cash payment for car accidents because...
  10. B

    Wiki Work Related Injuries going to private health insurance

    I'm hoping to get some information from my fellow coders. We see quite a few patients with work-related injuries (that are not work comp). Many do not inform their employers (in many cases to keep from taking a drug test) or are self-employed. I seem to remember something in my CPB certification...
  11. J

    Wiki California Work Comp Timely Filing

    We just took on a fairly large revenue recovery project (we are charging per hour). There is about 10% Work Comp. However, Work Comp is not our forte. We are getting a lot of denials for untimely submission for claims that were previously submitted (but never received?). I looked for the "laws"...
  12. D

    Wiki HCPCS Help needed!!

    I am looking for HCPCS codes for the following medications that our doctors dispense to the patients and we bill to their WC carriers. Ketoprofen / Orudis - 75mgs Prilosec / Omeprazole - 20mgs Paxil / Paroxetine - 10mgs and 20mgs Ibuprofen / Motrin - 600mgs & 800mgs Hydrocodone / Norco -...
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