Author Topic: no fault & worker comp.  (Read 2775 times)

best biller

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no fault & worker comp.
« on: April 23, 2013, 07:40:30 PM »
Is billing no fault & workers comp. more complicated then regular types insurance ?
If yes, could someone here explain me why and what please?

Thanks

PMRNC

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Re: no fault & worker comp.
« Reply #1 on: April 24, 2013, 09:54:11 AM »
It can be or it can be just as easy but reimbursement is slower. Sometimes there are attorney's thrown into the mix. You have to know your own states no fault and WC rules/procedures so I would start there.

I always tell people if they are going to take a client with more than 10% in WC, PI or NF insurance to rethink their method of charging the provider if they are charging on a % as these cases can become not only longer but the time to collect is longer as well and you won't receive a fair compensation for the time you put in.
Linda Walker
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Medicare56

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Re: no fault & worker comp.
« Reply #2 on: April 25, 2013, 04:15:07 PM »
I have a new question. As a DME company, how would worker's compensation be billed? In terms of prescription requirement, medical neccesity, clinical note, mobility evaluations, etc...? What is the actual process?

best biller

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Re: no fault & worker comp.
« Reply #3 on: April 26, 2013, 12:03:03 AM »
It can be or it can be just as easy but reimbursement is slower. Sometimes there are attorney's thrown into the mix. You have to know your own states no fault and WC rules/procedures so I would start there.

I always tell people if they are going to take a client with more than 10% in WC, PI or NF insurance to rethink their method of charging the provider if they are charging on a % as these cases can become not only longer but the time to collect is longer as well and you won't receive a fair compensation for the time you put in.

We are in ny.
also i would like to know if it could be billed electronically, or only by paper.

please make it clear for us.

Thanks in advance

PMRNC

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Re: no fault & worker comp.
« Reply #4 on: April 26, 2013, 09:34:33 AM »
Here is a link for NY Workers Comp, has all info you need:

http://ww3.nysif.com/Workers_Compensation/MedicalProviders.aspx

Fee schedule is here,       http://www.wcb.ny.gov/content/main/hcpp/MedFeeSchedules/medfee.jsp

For electronic claims for both WC and NF :  http://solutions.ihcfa.com/
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

Medical Billing Forum

Re: no fault & worker comp.
« Reply #4 on: April 26, 2013, 09:34:33 AM »