Submit medical bills on time

Are you submitting your bills on time? The rule says that medical providers must submit bills within 60 days of the date of service. There can be extenuating circumstances that will prevent you from billing within 60 days that are outlined in rule 436-009-0010(5). The insurer can not reduce your bill for late billing if submitted within 1 year from the date of service; however, you may be in violation of workers’ compensation rules. You can contact us to help with any of your payment or treatment disputes by completing Form 2842 or give us a call at 503-947-7606.

e-Billing meeting on May 20

Please consider joining us for our next meeting on workers’ compensation e-Billing standards.
Our meeting agenda, which includes revised drafts of the proposed rules and companion guide, has been posted to our website.

The draft rules and guide reflect input from the committee. Changes made since our Jan. 30 meeting are marked. These are likely the final drafts for committee review and advice, except that we will have to adjust these documents when Oregon-specific CARCs and RARCs (claim adjustment reason codes; remittance advice remark codes) are available. One of our discussion items will be the status of Oregon-specific CARCs and RARCs. We will also ask for the committee’s advice on a voluntary start date for Oregon e-Billing.

Meeting information (times are Pacific Time, Daylight Savings Time):
     May 20, 2013, 9 a.m. to Noon
     Room F Labor &Industries Building, 350 Winter Street NE, Salem, Oregon
     Teleconference dial in: 1-626-677-3000; Access code: 786664; Lines open at 8:45 a.m.

We look forward to the meeting and to having your advice. Feel free to contact Fred Bruyns if you have questions.

Division 009 online training

We have developed online training for the Division 009 Medical Fee & Payment Rules. This interactive training is not meant to substitute for the rules.

The training focuses on specific areas of the Division 009 rules and provides clarification. It is organized by Division 009 rule topics that are listed along the right-hand side, so that you can select and view only the information you want. You may click on any of the topics at any time during the training. Be sure to wear headphones to listen in, and you can access the online training here.

If you have questions about the rules or any workers’ compensation medical issues, please contact us at 503-947-7606 or email wcd.medicalquestions@state.or.us.

 

Providers share tips and best practices

Recently, we received a comment on our blog from a provider who wants to learn how other providers deal with workers' compensation issues. We think this is a great idea and invite you to share your tips and tricks, processes, and best practices. This blog is a resource for all providers, and we hope you will take a moment to share your thoughts or to ask for advice if you need it. Our office is here to help, and we are a resource for you. Please contact us with any workers' compensation medical issues at 503-947-7606 or email wcd.medicalquestions@state.or.us.

Proposed rules (009, 010, 015)

Proposed rules for divisions 009, 010, and 015 were filed on January 14 with the Oregon Secretary of State. These proposed rules were written under the advisement of our stakeholders, but it’s not too late to provide testimony to be considered for the final version of the rules. Submitting testimony is as easy as sending us an email noted as testimony.  Testimony that is data-driven gives us “hard evidence” to make and justify final rule making decisions.

All testimony must be received by February 22, 2013, 5:00 p.m. to be recorded and considered. Send testimony to Fred Bruyns, Rules Coordinator at fred.h.bruyns@state.or.us.