Medical Billing Forum

Payments => Insurance Payments => : rdmoore2003 April 14, 2011, 07:48:41 PM

: w/c ??
: rdmoore2003 April 14, 2011, 07:48:41 PM
We have a pt that is on w/c.  We completed evaluation and now have approvals to see pt for weekly therapy and medication visits.   We have received another approval from pts w/c to do a different evaluation.   EX:  first evaluation for spinal cord stimulator trial-(completed and is actually in therapy now)   then, w/c decides they want another evaluation for driving. (different tests, etc) 
My question is, Is it legal for w/c carriers to hold payment on an approved service that has no bearing on the entirely separate second evaluation?  If so, what steps should I take?   
: Re: w/c ??
: Michele April 15, 2011, 09:46:03 AM
If the services were approved, then they should be reimbursed in a timely fashion.  They shouldn't be able to 'hold claims' on a separate authorization.