Worker’s Compensation Medical Billing

Event Information
Product Format
Prerecorded Event
60 minutes
Product Description

Streamline the Paperwork and Improve Your Workman’s Compensation Medical Billing

Many providers shy away from Workman’s Comp (WC) patients due to the extra paperwork, long wait time for payments and constant changes in State and Federal regulations.

You don’t have to lose revenue due to WC claim denials. It is not as labor intensive once proper protocols are in place and the process is streamlined. It is a perfect “niche” for the right practice to gain more revenue and increase their services and marketability from becoming the “Treating Provider on record”, a WC panel Provider, or a provider delivering new cutting edge services in the health industry.

In this presentation, Trish Bukauskas will alleviate any and all fears and provide simple tips on what a Workman’s Compensation insurance carrier requires and how to streamline the paperwork involved. This session will also cover Federal and State requirements in this area.

Session Highlights:

  • How to determine if a claim is approved, open or inactive.
  • How to obtain a provider number if and when one is required.
  • The different ways to appeal a claim that is denied or needs an authorization.
  • Services that require prior authorization.
  • How to get paid on unique services such as DME (Durable Medical Equipment), PT (Physical Therapy) and medications.
  • Understand the 5 major reasons WC claims are denied.
  • Know why proper diagnosis coding is so important and how to determine the “compensable” diagnosis.
  • Know how to bill for multiple work injuries the same day.
  • Know what documentation is required to get the claim approved and / or paid.
  • Easy patient history forms that assist in proper evaluation of the WC patient.
  • Templates on how to train your providers for follow up documentation.
  • How to bill or check claim status “electronically” for Federal and some State W/C carriers.
  • Top 5 reasons a WC bill is returned.

Session Agenda:

  • W/Comp basics
  • Definition of open comp claim: accepted claims/accepted body parts
  • Steps to insure payments
  • Authorization: Forms, Requirements
  • Reasons for claim denials
  • HCFA 1500 problematic fields
  • Medical provider responsibilities
  • Services unique to WC

Who should attend

Billers, Coders, Managers and Physical therapists and providers specializing in Orthopedics, Sports Medicine, Psychiatry or other providers that have a large WC patient population.

Order Below or Call 1-866-458-2965 Today

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About Our Speaker

Trish Bukauskas

Trish Bukauskas is both an administrator and management consultant with over 25 years of successful coding, management and training in varied healthcare practices. From a practice consulting business to continuing on-site management, Trish's experience is unique and comprehensive. Attendees will have the opportunity of learning solutions to their insurance billing problems from "real world" experience. Ms. Bukauskas is committed to assisting specialty practices in taking back control and...   More Info
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