Medical Billing Forum

Billing => Billing => Topic started by: gderilus on May 09, 2010, 07:37:24 PM

Title: Workers Comp
Post by: gderilus on May 09, 2010, 07:37:24 PM
can anyone tells me how to send workers comp claims for a mental health provider please.
Any suggestions would help
Title: Re: Workers Comp
Post by: PMRNC on May 10, 2010, 06:44:41 AM
They are treated like other WC Cases, make sure you have the open case #, adjusters name, etc. You can usually contact them to find out what is needed. I did a a few WC cases with mental health providers, my clients would also try and obtain an LOP when possible (Letter of protection).
Title: Re: Workers Comp
Post by: Michele on May 10, 2010, 08:05:53 PM
We have done a few WC mental health claims in NY.  Even though NY has Wc forms, they accept the mental health claims on the CMS 1500.  Call to make check with the carrier.  The codes are the same (icd9 & cpt).

Michele
Title: Re: Workers Comp
Post by: jcbilling on May 10, 2010, 08:20:32 PM
I have a question along similiar lines...we just rec'vd our first WC claim from a family practice located in TN. Can we bill it out on a CMS 1500 form? or is it best to call and find out?

Thanks,
Charity
Title: Re: Workers Comp
Post by: Michele on May 11, 2010, 06:41:02 AM
Each state is different.  I'm not sure for TN.  Most states accept the CMS 1500, but require office notes attached.  Some do require their special forms.  Best to call to verify.

Michele
Title: Re: Workers Comp
Post by: jcbilling on May 11, 2010, 10:19:43 AM
OK - thanks!