Medical Providers News

April 2019
Effective April 1, 2019, WSI will no longer require all total knee arthroplasty procedures be performed in the inpatient hospital setting. The Utilization Review (UR) department will now allow for the approval of a total knee arthroplasty described by CPT
March 2019
WSI has recently received an increase in incomplete prior authorization requests for elective lumbar fusion surgeries.
February 2019
WSI reimburses for vision correction materials (e.g. eyeglasses, contact lenses) when prescribed and deemed appropriate for an accepted workers compensation claim.
January 2019
Effective for dates of service on and after January 1, 2019, WSI has implemented a new code, W0420, for a provider to bill when instructing an injured worker on the use of a TENS unit.
December 2018
Effective January 1, 2019, WSI will implement the following fee schedule changes. Click here to access the full fee schedules.
December 2018
WSI recently published an article about the Advanced Beneficiary Notice (ABN) process. After receiving several follow-up questions from providers about the article, WSI is providing further clarification.
November 2018
WSI requires a provider complete the Advanced Beneficiary Notice of Non-Coverage (ABN) form for each individual date of service.
October 2018
Effective October 1, 2018, WSI requires an annual renewal of authorization for a brand name medication in lieu of a generic equivalent.
September 2018
WSI has expanded the EDI billing options available through iHCFA to include facility charges (UB-04/837i).
September 2018
To establish claim and medical bill liability, WSI requires a provider submit a specific diagnosis code reflective of the injury treated.