Medical Providers News

October 2017
Effective November 1, 2017 WSI will require documentation of a negative cotinine level at both six weeks and one week prior to an elective cervical or lumbar fusion surgery scheduled for an injured worker.
October 2017
Effective November 1, 2017, WSI will discontinue the requirement for a provider to submit the Pain Questionnaire form and Surgery Expectation Questionnaire form as part of the prior authorization process for an elective lumbar fusion.
September 2017
WSI recently revised the Advanced Beneficiary Notice of Non-Coverage (ABN) form, which a provider should use effective immediately.
July 2017
Effective August 1, 2017, WSI will implement changes involving prior authorization review requests.
June 2017
Effective July 1, 2017 WSI will implement the use of the 3M Ambulatory Payment Classification (APC) grouper.
June 2017
Based on provider feedback, WSI has outlined some points of clarification for providing chiropractic treatment to an injured worker.
June 2017
WSI recently revised several Utilization Review (UR) forms, which a provider should use effective immediately.
May 2017
WSI recently updated the Medical Provider section of the website to assist a dental provider in treating an injured worker.
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.