News

To establish claim and medical bill liability, WSI requires a provider submit a specific diagnosis code reflective of the injury treated. This requirement aligns with General Coding Guidelines (4) and (18), published in the ICD-10-CM Official Guidelines for Coding and Reporting.

Effective October 1, 2018, WSI will implement a change to the window period allowed in the existing chiropractic pilot program.

WSI recently published a new medical policy, Documentation Requirements for Prior Authorization of Therapeutic Injections. 

Effective September 1, 2018, WSI will require prior authorization for non-emergent air transportation services, see North Dakota Administrative Code § 92-01-02-34.5(e).

WSI recently partnered with Cordant Health Solutions to assist in the coordination of medication monitoring for injured workers on chronic opioid therapy.

WSI has expectations for presumptive drug screening and definitive testing, based on adopted medical guidelines. Reimbursement for these drug tests is dependent upon a provider’s compliance with these expectations.

WSI does not provide reimbursement for services considered unnecessary to treat or diagnose a compensable work injury.  This includes services generally considered preventive. 

Effective January 1, 2018, WSI will implement a change to the chiropractic pilot program. 

WSI offers several options for submitting a request for medications, which require prior authorization.

Effective January 1, 2018, WSI will implement the following fee schedule changes.  Click here to access the full fee schedules.