Billing News

November 2017
Effective November 29, 2017, WSI will begin issuing a revised Remittance Advice to medical providers.
September 2017
WSI recently revised the Advanced Beneficiary Notice of Non-Coverage (ABN) form, which a provider should use effective immediately.
June 2017
Effective July 1, 2017 WSI will implement the use of the 3M Ambulatory Payment Classification (APC) grouper.
April 2017
WSI has adopted the AMA’s CPT Guidelines for telemedicine services.
April 2017
WSI has discontinued the pilot program for medical appeal time frames, which extended the medical bill appeal time frame from 30 days to 60 days.
April 2017
Effective immediately, a provider may submit professional charges (CMS-1500/837p) and documentation electronically to WSI through iHCFA.
February 2017
WSI recently implemented Documentation Policies to reinforce existing guidelines and/or clarify documentation standards.
January 2017
Effective January 1, 2017, WSI will implement the following fee schedule changes.
June 2016
Effective July 1, 2016, WSI will implement a new process to enforce the exclusive use of the Medical Bill Appeal (M6) form.
May 2016
Effective June 1, 2016, WSI will only accept a request to retrospectively review a rendered service that was not prior authorized after the provider has submitted a bill and received a denial for that service.