Author Topic: w/c ??  (Read 1436 times)


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w/c ??
« on: April 14, 2011, 04:48:41 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?   


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Re: w/c ??
« Reply #1 on: April 15, 2011, 06:46:03 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.
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