Medical Providers News

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 is initiating a pilot program in which a chiropractor will be required to obtain prior authorization for chiropractic treatment extending beyond the initial office visit.
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.
May 2016
WSI recently published a new medical policy, Chronic Opioid Therapy. This policy is a result of the 2015 North Dakota Legislative Assembly amending North Dakota Century Code (N.D.C.C.) § 65-05-39 to address chronic opioid therapy.
April 2016
WSI recently revised the UR-Chiro form and providers should use the revised form effective immediately.