News

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. 

Effective January 1, 2016, WSI implemented the following fee schedule changes.   

Effective March 1, 2016, WSI will require prior authorization of speech therapy by the Utilization Review (UR) department.

WSI has restructured the Fee Schedule Guidelines, offering a more user-friendly product for 2016.

Effective March 1, 2016, WSI will implement changes regarding the coverage of massage therapy treatment.

WSI recently changed the standard for billing a unilateral procedure performed bilaterally in order to align with CMS.

Effective for dates of service beginning September 1, 2015, WSI will deny durable medical equipment, prosthetics, orthotics, supplies (DMEPOS) billed with a miscellaneous code if a more specific code is available. 

Effective for dates of service beginning September 1, 2015, WSI will not reimburse for procedures billed with HCPCS Temporary National Codes (T Codes).