News

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).

The 2015 North Dakota Legislative Assembly amended North Dakota Century Code (N.D.C.C.) to address the legal protection of a healthcare provider when disclosing medical information to WSI.

Beginning October 1, 2015, WSI will transition from the use of ICD-9 to ICD-10 for diagnosis and procedure codes in alignment with federal regulations.

This article highlights significant changes in billing for drugs of abuse testing codes in the Clinical Laboratory Fee Schedule.

Effective February 1, 2015, WSI will require prior authorization of long-acting opioid medication.

Effective January 1, 2015, WSI will implement the following fee schedule changes. Click here to access the full fee schedules.

Effective January 1, 2015, WSI will require the primary diagnosis code for an inpatient hospital charge.

Effective January 1, 2015 WSI will adopt CMS guidelines, which require red and white versions of the CMS 1500 and UB-04.

This article highlights a significant change in billing of lab work provided in the outpatient hospital setting.