Billing News

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.
March 2018
WSI has expectations for presumptive drug screening and definitive testing, based on adopted medical guidelines.
March 2018
WSI does not provide reimbursement for services considered unnecessary to treat or diagnose a compensable work injury. This includes services generally considered preventive.
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.