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Updated Fee Schedule Effective January 1, 2024

Wednesday, January 3, 2024 at 11:00 pm

Categories: Medical Provider All News, Medical Provider Billing, Agency News

Effective January 1, 2024, WSI will implement the following fee schedule changes. 


OSHA's Final Rule to Improve Tracking

Sunday, December 3, 2023 at 12:00 pm

Categories: Safety All News, Agency News, Employer News

Remittance Advice Now Available on myWSI

Thursday, October 19, 2023

Categories: Medical Provider All News, Agency News

WSI recently developed an enhancement to the myWSI portal, which allows a provider convenient, 24-hour access to previously issued remittance advices.


Reminder on Drug Testing Policy

Wednesday, October 11, 2023

Categories: Medical Provider All News, Medical Provider Billing, Agency News

WSI has recently seen an increase in bills denied for non-compliance with the Definitive Drug Testing policy.


Serve & Protect program launched to cover costs of routine medical exams for firefighters and police

Thursday, September 21, 2023

Categories: Safety All News, Agency News, Employer News

Program builds upon ‘Back the Blue’ legislation signed last spring


Updated Medical Bill Appeal (M6) form

Monday, August 7, 2023

Categories: Medical Provider All News, Medical Provider Billing, Medical Provider Utilization Review, Agency News

WSI has updated the Medical Bill Appeal (M6) form. The changes aim to simplify completion of the form and offer guidance on what documentation a provider should submit for common reason codes.


System Maintenance Will Impact WSI Services August 4 to August 7

Thursday, July 20, 2023

Categories: Agency News

Due to system maintenance, WSI systems and online applications, including myWSI, will be unavailable starting at 1:00 p.m. on Friday, August 4 until 8:00 a.m. on Monday, August 7.


OSHA National News Release

Wednesday, July 19, 2023

Categories: Safety All News, Agency News, Employer News

Workers' Compensation Coverage for Flood Fighters

Thursday, April 6, 2023

Categories: Agency News, Employer News

The following guidelines are intended to provide guidance as to who is covered by North Dakota Workforce Safety & Insurance (WSI) worker’s compensation coverage, and when they are covered or not covered during times of disaster, including spring flooding.


ASC Special Payment for OPPS Complexity-Adjusted C-APCS

Wednesday, March 8, 2023 at 11:00 pm

Categories: Medical Provider All News, Medical Provider Billing, Agency News

Effective January 1, 2023, WSI has adopted Medicare’s new ASC payment policy for OPPS complexity adjusted C-APCs.


Claim Lookup Application

Thursday, January 12, 2023 at 11:00 pm

Categories: Medical Provider All News, Medical Provider Billing, Medical Provider Pharmacy, Medical Provider Utilization Review, Agency News

Did you know WSI provides a Claim Lookup application?


New Evaluation and Management Services Policy

Sunday, January 8, 2023 at 11:00 pm

Categories: Medical Provider All News, Medical Provider Billing, Agency News

WSI recently published a new documentation policy, Evaluation and Management Services.


Updated Fee Schedule Effective January 1, 2023

Tuesday, January 3, 2023 at 11:00 pm

Categories: Medical Provider All News, Medical Provider Billing, Agency News

Effective January 1, 2023, WSI will implement the following fee schedule changes.


Additional Information on New Pharmacy Benefit Manager

Tuesday, January 3, 2023 at 11:00 pm

Categories: Medical Provider All News, Medical Provider Pharmacy, Agency News

Workforce Safety and Insurance previously published an article about transitioning to a new pharmacy benefit manager, Integrated Prescription Management (IPM). This article provides additional information on submitting pharmacy charges through IPM.


Clarification on FourStone Collection Billing

Wednesday, December 21, 2022 at 08:00 am

Categories: Medical Provider All News, Medical Provider Pharmacy, Medical Provider News Archive, Agency News

Workforce Safety and Insurance previously published an article about a transition to FourStone Partners for the coordination of medication monitoring for injured employees on chronic opioid therapy.  After receiving several follow-up questions from providers about the article, WSI is providing further clarification.


New Pharmacy Benefit Manager

Tuesday, November 1, 2022

Categories: Medical Provider All News, Medical Provider Billing, Medical Provider Pharmacy, Agency News

By the end of 2022, WSI will be transitioning from Envolve to a new pharmacy benefit manager, Integrated Prescription Management (IPM).


Cyber-attack targets Workforce Safety & Insurance data

Friday, August 19, 2022 at 04:00 pm

Categories: Agency News

WSI was a victim of a cyber security attack on June 28, 2022, which involved personal data.


Cordant Transitioning to FourStone Partners

Friday, July 8, 2022

Categories: Medical Provider All News, Agency News

Since 2018 WSI has partnered with Cordant Health Solutions to assist in the coordination of medication monitoring for injured employees on chronic opioid therapy. Currently, Cordant Health Solutions is transitioning to FourStone Partners. 


OSHA News Release - Dangers of Heat Illness

Wednesday, June 22, 2022

Categories: Safety All News, Agency News, Employer News

US Department of Labor reminds Great Lakes region's employers that workers need protection from dangers of heat illness: indoors, outdoors

 


Reporting A Diagnosis Code

Monday, May 23, 2022

Categories: Medical Provider All News, Agency News

WSI requires a provider to report the most specific diagnosis code reflective of the injury treated instead of using the standalone diagnosis code of “pain”.


Billing Requirements for Physical and Occupational Therapist Assistants

Thursday, May 12, 2022

Categories: Medical Provider All News, Medical Provider Billing, Agency News

In response to several provider questions, WSI is providing clarification on the billing requirements for a service completed by a Physical Therapist Assistant (PTA) or Occupational Therapist Assistant (OTA).  


Updated Fee Schedule Effective January 1, 2022

Sunday, January 2, 2022 at 11:00 pm

Categories: Medical Provider All News, Medical Provider Billing, Agency News

Effective January 1, 2022, WSI will implement the following fee schedule changes. Click here to access the full fee schedules. 


Change to Prior Authorization Review of Palliative Care

Thursday, December 9, 2021 at 11:00 pm

Categories: Medical Provider All News, Medical Provider Utilization Review, Agency News

The 2021 North Dakota Legislative Assembly enacted changes to North Dakota Administrative Code pertaining to WSI’s prior authorization review of palliative care. 


Payment Denial of Paper Medical Bills

Sunday, November 28, 2021 at 11:00 pm

Categories: Medical Provider All News, Medical Provider Billing, Agency News

Effective January 1, 2022, WSI will deny medical bills received in paper format from a practice that submits at least 50 bills per calendar year.


Does WSI Cover an Employee's Reaction to a COVID-19 Vaccination?

Tuesday, October 26, 2021

Categories: Agency News

Phase III of Ergonomic Initiative Grant Available Soon; Phase II Ending Oct. 20, 2021

Friday, October 15, 2021

Categories: Safety All News, Agency News, Employer News

WSI is launching a new Phase III of the Ergonomic Initiative Grant on Oct. 21, 2021.


Resources for Electronic (EDI) Medical Billing

Monday, October 4, 2021

Categories: Medical Provider All News, Medical Provider Billing, Agency News

WSI has made available several resources to assist providers in their compliance with the recent requirement to submit medical bills through Electronic Data Interchange (EDI). 


Physical Therapist as Primary Treating Provider

Friday, August 13, 2021

Categories: Medical Provider All News, Medical Provider Billing, Medical Provider Pharmacy, Medical Provider Utilization Review, Agency News

The 2021 North Dakota Legislative Assembly enacted a change to North Dakota Century Code §65-01-02(21) adding physical therapist to the definition of health care provider. 


Electronic Fund Transfer Available

Thursday, August 12, 2021

Categories: Medical Provider All News, Medical Provider Billing, Agency News

WSI now offers electronic fund transfers (EFT) as a means of payment to a medical provider for a rendered service. 


New Payroll Reporting Application in myWSI

Monday, August 2, 2021 at 08:00 am

Categories: Agency News, Employer News

WSI recently launched an all new and easier than ever to use Payroll Reporting application for employers.


New Opiate and Benzodiazepine Coverage Limitations

Thursday, July 29, 2021

Categories: Medical Provider All News, Medical Provider Billing, Medical Provider Pharmacy, Medical Provider Utilization Review, Agency News

The 2021 North Dakota Legislative Assembly enacted North Dakota Century Code §65-05-40, to address quantity and duration limits for opioid and benzodiazepine therapies.


Reminder on Transition to Electronic (EDI) Billing

Tuesday, June 29, 2021

Categories: Medical Provider All News, Medical Provider Billing, Agency News

Effective tomorrow, July 1st, 2021, WSI will accept medical bills solely through Electronic Data Interchange (EDI).


Evaluation and Management (E/M) Policy Change Effective May 19th, 2021

Monday, May 17, 2021

Categories: Medical Provider All News, Medical Provider Billing

WSI recently published an article about a change being made to the policies, Outpatient E/M Services and Other E/M Services, regarding reimbursement.


Transition to Electronic (EDI) Medical Billing Effective July 1, 2021

Wednesday, May 5, 2021

Categories: Medical Provider All News, Medical Provider Billing

Effective July 1, 2021, WSI will accept medical bills solely through Electronic Data Interchange (EDI).


New Audit Process for Evaluation and Management Services

Friday, April 30, 2021

Categories: Medical Provider All News, Medical Provider Billing

Effective May 19th, 2021, WSI will make a change to the policies, Outpatient E/M Services and Other E/M Services, regarding reimbursement.


New Evaluation and Management Services Policies

Thursday, April 1, 2021

Categories: Medical Provider All News, Medical Provider Billing

WSI recently published two new documentation policies, Outpatient E/M Services and Other E/M Services.


2021 Online Fee Schedules Now Available

Thursday, January 21, 2021 at 11:00 pm

Categories: Medical Provider All News, Medical Provider Billing

WSI has posted the 2021 Fee Schedule files to the online WSI Fee Schedule.


Updated Fee Schedule Effective January 1, 2021

Sunday, January 3, 2021 at 11:00 pm

Categories: Medical Provider All News, Medical Provider Billing

Effective January 1, 2021, WSI will implement the following fee schedule changes.  Click here to access the full fee schedules. 


Electronic (EDI) Billing Mandate

Thursday, October 29, 2020

Categories: Medical Provider All News, Medical Provider Billing

WSI will be implementing an EDI billing requirement effective July 1, 2021.


myWSI UR Application Enhancements Now Available

Thursday, October 22, 2020

Categories: Medical Provider All News, Medical Provider Utilization Review

WSI recently enhanced the Utilization Review (UR) application in MyWSI.


Electronic Newsletter for Employers

Thursday, July 16, 2020

Categories: Employer News

WSI Reinstating Previous Appeal and Procedure Timeframes

Thursday, July 2, 2020

Categories: Medical Provider All News, Medical Provider Billing, Medical Provider Utilization Review

Effective for dates of service on or after July 1, 2020, WSI will reinstate the previous timeframe of 30 days to appeal a medical bill or utilization review decision, and 90 days to complete an approved surgery. 


WSI Opening Lobby to the Public

Friday, June 19, 2020

With the recent information regarding COVID-19, WSI is opening the lobby to the public beginning Monday, June 22, 2020.


myWSI How-To Videos Available for Employers

Monday, May 11, 2020

Categories: Employer News

WSI has created how-to videos to assist employers when using myWSI.


Home Health Care Billing Requirements

Friday, May 8, 2020

Categories: Medical Provider All News, Medical Provider Billing

WSI billing requirements for home health care include both a per hour and/or a per visit reimbursement rate.


Application for Insurance must be Completed Online

Tuesday, April 28, 2020

Categories: Employer News

WSI’s Application for Insurance must be completed online beginning April 30, 2020.

 

 


WSI Temporarily Extends Filing Timeframe for a Medical Bill Appeal

Friday, April 17, 2020

Categories: Medical Provider All News, Medical Provider Billing

WSI is temporarily extending the acceptable filing timeframe for appealing a previously reduced or denied medical bill.


Workers' Compensation Coverage for COVID-19 Extended to Include Funeral Service Personnel

Friday, April 17, 2020

Categories: Agency News

Governor Burgum amends executive order extending workers' compensation coverage for COVID-19 for funeral service personnel.


WSI Invites Medical Providers to Sign-Up for myWSI

Monday, April 13, 2020

Categories: Medical Provider All News, Medical Provider Billing, Medical Provider Utilization Review

WSI Invites Medical Providers to Sign-Up for myWSI.


COVID-19 FAQS for Medical Providers

Thursday, April 9, 2020

Categories: Medical Provider All News, Medical Provider Billing, Medical Provider Pharmacy, Medical Provider Utilization Review

COVID-19 FAQS for Medical Providers


Public Hearing for Premium Rates Amended Due to COVID-19

Thursday, April 2, 2020

Categories: Employer News

To prevent the spread of COVID-19, the public hearing on premium rates scheduled for April 6, 2020, will held via conference call.


Updated: Guidelines for COVID-19 Coverage for Frontline Health Care Workers and First Responders

Thursday, April 2, 2020

WSI has created a FAQs document to assist with questions regarding the extended coverage for COVID-19 for frontline health care workers and first responders and general workers' compensation claim information.


Billing for Telemedicine Services

Wednesday, April 1, 2020

Categories: Medical Provider All News, Medical Provider Billing

WSI previously published an article about expanding eligible telemedicine services due to COVID-19.  After receiving several follow-up questions from providers, WSI is providing clarification on the types of telemedicine services and billing codes allowed for the duration of the emergency declaration.


Governor Burgum issues Executive Order to Assist Employers

Friday, March 27, 2020

Categories: Employer News

Governor Doug Burgum today announced an executive order easing reporting requirements for employers.


Governor Burgum issues Executive Order to Extend Workers’ Compensation Coverage for COVID-19 to First Responders and Frontline Health Care Workers

Wednesday, March 25, 2020 at 05:00 pm

Governor Doug Burgum issues executive order for extending workers’ compensation coverage for COVID-19 to first responders and frontline health care workers.


WSI Temporarily Expanding Telehealth Services

Monday, March 23, 2020

Categories: Medical Provider All News, Medical Provider Billing, Medical Provider Utilization Review

Effective March 20, 2020, WSI is temporarily expanding eligible telehealth services in response to Governor Burgum’s Executive Order 2020-05.1 and in alignment with CMS guidelines.


Changes to Medical Services During COVID-19

Monday, March 23, 2020

Categories: Medical Provider All News, Medical Provider Billing, Medical Provider Pharmacy, Medical Provider Utilization Review

In response to the COVID-19 pandemic, WSI has made changes to business practices involving medical services.


WSI Office Closed to the Public

Friday, March 20, 2020

Due to public health concerns, WSI's office in Bismarck is closed to the public.


New Remittance Advice Reason Code

Wednesday, March 11, 2020 at 03:00 pm

Categories: Medical Provider All News, Medical Provider Billing

WSI has created a new Remittance Advice Reason Code, 243, to address non-authentic medical documentation.


Workers’ Compensation Coverage for Flood Fighters

Wednesday, March 4, 2020 at 11:00 pm

Categories: Employer News

The following guidelines are intended to provide guidance as to who is covered by WSI worker’s compensation coverage, and when they are covered or not covered during times of disaster including spring flooding. 


2020 Online Fee Schedules Now Available

Thursday, January 16, 2020 at 11:00 pm

Categories: Medical Provider All News, Medical Provider Billing

WSI has posted the 2020 Fee Schedule files to the online WSI Fee Schedule.


Updated Fee Schedule effective January 1, 2020

Wednesday, January 1, 2020 at 11:00 pm

Categories: Medical Provider All News, Medical Provider Billing

Effective January 1, 2020, WSI will implement the fee schedule changes described below.  WSI will publish a subsequent news article notification when the 2020 Fee Schedules files are available.


New Fee Schedule for Long-Term Care Hospitals

Monday, December 9, 2019 at 08:00 am

Categories: Medical Provider All News, Medical Provider Billing

Effective January 1, 2020 WSI will implement a new Fee Schedule for Long-Term Care Hospital (LTCH) charges. 


How “Leading Indicators” are Used in Safety Management

Wednesday, December 4, 2019 at 07:00 am

Categories: Safety All News

Leading indicators measure the events leading up to injuries and fatalities, and also provide information about the current state of an organization's safety management system.


Free Learning Saves Policyholders over $13 million

Wednesday, October 16, 2019

Categories: Safety All News, Employer News

Education and training are important tools in safety programs and WSI is proud to offer policyholders a free learning management system (LMS) and OSHA training.  


Check out these new features on myWSI

Friday, September 6, 2019

Categories: Agency News, Employer News

Employers can now access their Loss Run reports in myWSI!

Also available on myWSI, employers, workers and medical providers can manage their notifications and alerts. 


Medical Provider Payee Registration Form Required by August 30, 2019

Monday, August 19, 2019 at 08:56 am

Categories: Medical Provider All News, Medical Provider Billing, Medical Provider Pharmacy

WSI recently published an article about the Medical Provider Payee Registration form now being required. If a practice has not yet submitted the required form, you must do so by August 30, 2019, or WSI will deny payment.


Employers Required to File Payroll Online Starting August 1, 2019

Wednesday, July 31, 2019 at 08:00 am

Categories: Employer News

Starting on August 1, 2019, employers will be required to provide their payroll report online through WSI's Online Services Reporting.


New QuickPay Option for Employers to Pay Their WSI Account

Tuesday, July 30, 2019 at 10:00 am

Categories: Employer News

With WSI’s QuickPay, employers never have to stop in or send a check to pay premium and assessment fees.


Implementation of Maximum Daily Dosage Limits for Lyrica® (Pregabalin)

Thursday, July 25, 2019 at 08:00 am

Categories: Medical Provider All News, Medical Provider Pharmacy

Effective August 15, 2019, WSI is implementing plan limits for maximum daily dosages of Lyrica® (Pregabalin). This is applicable to both a new and existing prescription.


Revised Medical Provider Payee Registration Form Required

Thursday, July 25, 2019 at 08:00 am

Categories: Medical Provider All News, Medical Provider Billing, Medical Provider Pharmacy

WSI recently revised the Medical Provider Payee Registration form, which a practice must submit to receive payment from WSI.


Grain Bin Safety – Protect Your Workers

Tuesday, July 23, 2019 at 08:00 am

Categories: Safety All News

Grain bin safety should be a priority for all farmers and grain handling facilities.


Construction Safety - Actions for Success

Wednesday, June 26, 2019 at 08:00 am

Categories: Safety All News

A good thing to do first is to define construction safety! 


Follow WSI on Facebook and Twitter

Monday, June 24, 2019 at 12:00 pm

Categories: Agency News

Follow us Facebook and Twitter!


Announcement of New WSI Medical Director

Monday, June 24, 2019 at 08:00 am

Categories: Medical Provider All News

Dr. Mandi Johnson, MD, FAAFP, MPH will join WSI as Medical Director effective July 1, 2019. As Medical Director, Dr. Johnson will provide medical consultation services and assist with policy and procedure development for WSI.


Changes Made to Experience Rate Report

Monday, June 24, 2019 at 08:00 am

Categories: Employer News

The Experience Rate Report that is issued prior to renewal for each employer account that qualifies for an Experience Rate has changed.


Sign up today for new Employer Newsletter

Thursday, June 6, 2019 at 02:12 pm

Categories: Employer News

WSI now has an electronic newsletter for employers, Employer InSite!


Change to Utilization Review Process for Total Knee Arthroplasty

Tuesday, April 9, 2019 at 08:00 am

Categories: Medical Provider All News, Medical Provider Billing, Medical Provider Utilization Review

Effective April 1, 2019, WSI will no longer require all total knee arthroplasty procedures be performed in the inpatient hospital setting. The Utilization Review (UR) department will now allow for the approval of a total knee arthroplasty described by CPT codes 27446 or 27447 in the outpatient hospital and ambulatory surgical center settings.


Documentation Requirements for Prior Authorization of an Elective Lumbar Fusion

Monday, March 25, 2019 at 08:00 am

Categories: Medical Provider All News, Medical Provider Billing, Medical Provider Utilization Review

WSI has recently received an increase in incomplete prior authorization requests for elective lumbar fusion surgeries.


Reimbursement Requirements for Vision Correction Materials

Friday, February 15, 2019 at 08:00 am

Categories: Medical Provider All News, Medical Provider Billing

WSI reimburses for vision correction materials (e.g. eyeglasses, contact lenses) when prescribed and deemed appropriate for an accepted workers compensation claim.


Change in Billing for Instruction on the Use of a Transcutaneous Neurostimulator (TENS) Unit

Tuesday, January 22, 2019 at 08:00 am

Categories: Medical Provider All News, Medical Provider Billing, Medical Provider Utilization Review

Effective for dates of service on and after January 1, 2019, WSI has implemented a new code, W0420, for a provider to bill when instructing an injured worker on the use of a TENS unit.


Updated Fee Schedule effective January 1, 2019

Thursday, January 10, 2019 at 08:00 am

Categories: Medical Provider All News, Medical Provider Billing

Effective January 1, 2019, WSI will implement the following fee schedule changes. Click here to access the full fee schedules.


Clarification on Previous Advanced Beneficiary Notice (ABN) Article

Friday, December 14, 2018 at 08:00 am

Categories: Medical Provider All News, Medical Provider Billing, Medical Provider Utilization Review

WSI recently published an article about the Advanced Beneficiary Notice (ABN) process.  After receiving several follow-up questions from providers about the article, WSI is providing further clarification.


Advanced Beneficiary Notice (ABN) Form to be Completed for Each Date of Service

Monday, November 5, 2018 at 08:00 am

Categories: Medical Provider All News, Medical Provider Billing, Medical Provider Utilization Review

WSI requires a provider complete the Advanced Beneficiary Notice of Non-Coverage (ABN) form for each individual date of service.


Annual Renewal of Authorization for Brand Necessary Medication

Tuesday, October 2, 2018 at 08:00 am

Categories: Medical Provider All News, Medical Provider Pharmacy

Effective October 1, 2018, WSI requires an annual renewal of authorization for a brand name medication in lieu of a generic equivalent.


WSI Expands EDI Medical Billing Options through iHCFA

Friday, September 14, 2018 at 08:00 am

Categories: Medical Provider All News, Medical Provider Billing

WSI has expanded the EDI billing options available through iHCFA to include facility charges (UB-04/837i).


Diagnosis Coding for Injured Employee Treatment Encounters

Thursday, September 6, 2018 at 08:00 am

Categories: Medical Provider All News, Medical Provider Billing

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.


Change to Chiropractic Window Period

Monday, August 27, 2018 at 08:00 am

Categories: Medical Provider All News, Medical Provider Billing, Medical Provider Utilization Review

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


New Documentation Requirements for Prior Authorization of Therapeutic Injections Policy

Monday, August 27, 2018 at 08:00 am

Categories: Medical Provider All News, Medical Provider Billing, Medical Provider Utilization Review

Prior Authorization Required for Non-Emergent Air Transportation Services

Monday, August 13, 2018 at 08:00 am

Categories: Medical Provider All News, Medical Provider Billing, Medical Provider Utilization Review

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).


Introduction of Cordant Health Solutions for Chronic Opioid Monitoring

Tuesday, July 17, 2018 at 08:00 am

Categories: Medical Provider All News, Medical Provider Billing

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


WSI’s Expectations for Presumptive Drug Screens and Definitive Drug Testing

Tuesday, May 1, 2018 at 08:00 am

Categories: Medical Provider News Archive

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.


Services not Reimbursable by WSI

Friday, March 2, 2018 at 08:00 am

Categories: Medical Provider News Archive

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


Introduction of Window Period into Chiropractic Pilot Program

Wednesday, December 20, 2017 at 08:00 am

Categories: Medical Provider News Archive

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


Options for Submitting a Prior Authorization Request for Medication

Tuesday, December 19, 2017 at 08:00 am

Categories: Medical Provider News Archive

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


Updated Fee Schedule effective January 1, 2018

Tuesday, December 19, 2017 at 08:00 am

Categories: Medical Provider News Archive

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


Provider Remittance Advice Revised

Wednesday, November 29, 2017 at 08:00 am

Categories: Medical Provider News Archive

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


Discontinuation of Questionnaire Forms for Elective Lumbar Fusion Surgery

Monday, October 30, 2017 at 08:00 am

Categories: Medical Provider News Archive

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.


New Cotinine Testing Requirements for Elective Cervical and Lumbar Fusion Surgeries

Monday, October 30, 2017 at 08:00 am

Categories: Medical Provider News Archive

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.


Changes Regarding Prior Authorization Review Requests

Thursday, July 27, 2017 at 08:00 am

Categories: Medical Provider News Archive

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


Outpatient Hospital Fee Schedule Payment Methodology Change

Wednesday, June 14, 2017 at 08:00 am

Categories: Medical Provider News Archive

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


Clarifications for Providing Chiropractic Treatment

Monday, June 12, 2017 at 08:00 am

Categories: Medical Provider News Archive

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


Adoption of CPT® Guidelines for Telemedicine Services

Monday, May 15, 2017 at 08:00 am

Categories: Medical Provider News Archive

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.


Updated Fee Schedule Effective January 1, 2017

Tuesday, January 10, 2017 at 08:00 am

Categories: Medical Provider News Archive

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


Change to Chiropractic Prior Authorization Requirements

Friday, June 24, 2016 at 08:00 am

Categories: Medical Provider News Archive

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.


Changes in Billing for Drugs of Abuse Testing Codes

Monday, February 8, 2016 at 08:00 am

Categories: Medical Provider News Archive

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


Updated Fee Schedule Effective January 1, 2016

Friday, January 29, 2016 at 08:00 am

Categories: Medical Provider News Archive

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


Massage Therapy Coverage Changes Effective March 1, 2016

Friday, January 29, 2016 at 08:00 am

Categories: Medical Provider News Archive

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


Changes to Fee Schedule Guidelines

Friday, January 29, 2016 at 08:00 am

Categories: Medical Provider News Archive

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


2016 Outpatient Laboratory Status Indicator and Billing Changes

Friday, January 29, 2016 at 08:00 am

Categories: Medical Provider News Archive

Change to the UR Process for Speech Therapy Effective March 1, 2016

Friday, January 29, 2016 at 08:00 am

Categories: Medical Provider News Archive

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


New Procedure Implemented for Billing of a Bilateral Procedure

Friday, January 29, 2016 at 08:00 am

Categories: Medical Provider News Archive

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


Change in Bill Processing of Miscellaneous DMEPOS Codes

Friday, August 28, 2015 at 08:00 am

Categories: Medical Provider News Archive

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. 


HCPCS Temporary National Codes are Not Reimbursed

Thursday, August 27, 2015 at 08:00 am

Categories: Medical Provider News Archive

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


Statute Amended Regarding Healthcare Provider Disclosure of Information to WSI

Monday, June 1, 2015 at 08:00 am

Categories: Medical Provider News Archive

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.


ICD-10 Implementation Update

Monday, June 1, 2015 at 08:00 am

Categories: Medical Provider News Archive

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.


Changes in Billing for Drugs of Abuse Testing Codes

Sunday, March 1, 2015 at 08:00 am

Categories: Medical Provider News Archive

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


Prior Authorization Required for Long-Acting Opioid Medication

Thursday, January 1, 2015 at 08:00 am

Categories: Medical Provider News Archive

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


Updated Fee Schedule effective January 1, 2015

Wednesday, December 31, 2014 at 08:00 am

Categories: Medical Provider News Archive

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


Inpatient Billing Requires Primary Diagnosis Code

Monday, December 15, 2014 at 08:00 am

Categories: Medical Provider News Archive

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


Red and White Forms Required for Medical Billing

Saturday, November 1, 2014 at 08:00 am

Categories: Medical Provider News Archive

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


2014 Billing Outpatient Lab Charges

Tuesday, July 1, 2014 at 08:00 am

Categories: Medical Provider News Archive

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


Evaluation & Management Documentation

Saturday, March 1, 2014 at 08:00 am

Categories: Medical Provider News Archive

Effective with dates of service beginning May 1, 2014, WSI will adopt the guidelines highlighted below in the auditing of Evaluation and Management (E/M) documentation.


H-wave Electrical Stimulation Not Covered

Saturday, March 1, 2014 at 08:00 am

Categories: Medical Provider News Archive

WSI does not cover H-wave electrical stimulation, as it is investigational and experimental.


Billing WSI when Medicare is the Secondary Payer

Saturday, February 1, 2014 at 08:00 am

Categories: Medical Provider News Archive

WSI has identified healthcare providers billing services to Medicare when WSI is the primary payer.


Billing of Hearing Aids and Related Services

Wednesday, January 1, 2014 at 08:00 am

Categories: Medical Provider News Archive

The following information provides clarification on reimbursement and prior authorization for hearing aids and associated services.


Continuous-flow Cryotherapy Units No Longer Covered

Sunday, December 1, 2013 at 08:00 am

Categories: Medical Provider News Archive

Effective October 1, 2013, WSI will no longer approve new requests for use of the continuous-flow cryotherapy units, e.g. Game Ready™ Accelerated Recovery System.


Revised Workability Assessment Program Criteria

Sunday, December 1, 2013 at 08:00 am

Categories: Medical Provider News Archive

In January 2013, WSI issued a Provider Bulletin detailing criteria for the workability assessment program. Based on provider feedback, the following are new criteria for a workability assessment with dates of service after January 1, 2014.


Bloodborne Pathogen Exposure Claims

Wednesday, May 1, 2013 at 08:00 am

Categories: Medical Provider News Archive

Bloodborne pathogen exposure claims need to be billed with modifier 22 added to the charges for the source patient.