Billing News

January 2016
Effective for dates of service in 2016, WSI adopted new CMS standards regarding billing for drugs of abuse.
January 2016
Effective January 1, 2016, WSI implemented the following fee schedule changes.
January 2016
WSI has restructured the Fee Schedule Guidelines, offering a more user-friendly product for 2016.
January 2016
Effective January 1, 2016, WSI adopted the new conditional packaging rules implemented by CMS for 2016.
January 2016
WSI recently changed the standard for billing a unilateral procedure performed bilaterally in order to align with CMS.
October 2015
WSI has restructured and added new functionality to the Fee Schedule section of our website.
August 2015
Effective for dates of service beginning September 1, 2015, WSI will not reimburse for procedures billed with HCPCS Temporary National Codes (T Codes).
August 2015
Effective for dates of service beginning September 1, 2015, WSI will deny durable medical equipment, prosthetics, orthotics, supplies (DMEPOS) billed with a miscellaneous code if a more specific code is available.
June 2015
Beginning October 1, 2015, WSI will transition from the use of ICD-9 to ICD-10 for diagnosis and procedure codes in alignment with federal regulations.
March 2015
This article highlights significant changes in billing for drugs of abuse testing codes in the Clinical Laboratory Fee Schedule.
January 2015
Effective March 1, 2015, WSI will only accept a request for adjustment (appeal) of a processed charge on the Provider Request for Adjustment (M6) form.
December 2014
Effective January 1, 2015, WSI will implement the following fee schedule changes.
December 2014
Effective January 1, 2015, WSI will require the primary diagnosis code for an inpatient hospital charge.
December 2014
Effective January 1, 2015, WSI will implement a pilot program to lengthen the appeal timeframe for a disputed medical charge.
November 2014
Effective January 1, 2015 WSI will adopt CMS guidelines, which require red and white versions of the CMS 1500 and UB-04.
July 2014
This article highlights a significant change in billing of lab work provided in the outpatient hospital setting.
March 2014
Effective with dates of service beginning May 1, 2014, WSI will adopt the guidelines highlighted below in the auditing of Evaluation and Management (E/M) documentation.
March 2014
WSI does not cover H-wave electrical stimulation, as it is investigational and experimental.
February 2014
Facilities should use the WSI specific procedure code, W0555, when billing for Independent Exercise Program (IEP).
February 2014
WSI has identified healthcare providers billing services to Medicare when WSI is the primary payer.
January 2014
The following information provides clarification on reimbursement and prior authorization for hearing aids and associated services.
December 2013
Effective October 1, 2013, WSI will no longer approve new requests for use of the continuous-flow cryotherapy units, e.g. Game Ready™ Accelerated Recovery System.
December 2013
In January 2013, WSI issued a Provider Bulletin detailing criteria for the workability assessment program.
May 2013
Bloodborne pathogen exposure claims need to be billed with modifier 22 added to the charges for the source patient.