News

Effective November 29, 2017, WSI will begin issuing a revised Remittance Advice to medical providers.

Effective November 1, 2017, WSI will discontinue the requirement for a provider to submit the Pain Questionnaire and Surgery Expectation Questionnaire forms as part of the prior authorization process for an elective lumbar fusion.

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.

Effective August 1, 2017, WSI will implement changes involving prior authorization review requests.

Effective July 1, 2017 WSI will implement the use of the 3M Ambulatory Payment Classification (APC) grouper.

Based on provider feedback, WSI has outlined some points of clarification for providing chiropractic treatment to an injured worker.

WSI has adopted the AMA’s CPT® Guidelines for telemedicine services. Telemedicine seeks to improve a patient's health by permitting two-way, real time interactive communication between the patient and a physician or practitioner at a distant site.

Effective January 1, 2017, WSI will implement the following fee schedule changes.  Click here to access the full fee schedules. 

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.

Effective for dates of service in 2016, WSI adopted new CMS standards regarding billing for drugs of abuse.