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Billing and Reimbursement
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Clean Claim and eBill Workers' Compensation Companion Guide
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CMS 1500 form information
(CMS website)
Preauthorization
Work Hardening and Work Conditioning Programs Exempted from Preauthorization and Concurrent Review
Memos
Use of Pharmaceuticals in the Texas Workers’ Compensation System
National Provider Identification Number Requirement
95-Day Billing Guidance for Providers
External Resources
(for more see
Helpful E-mail Addresses and Websites for Providers
)
Claim adjustment reason codes, see: Washington Publishing Company EDI Resources at
http://www.wpc-edi.com/Providers
Dental, home health and some DME: see the Texas Medicaid and Healthcare Partnership website at
http://www.tmhp.com/default.aspx
Durable medical equipment: see the Cigna Government Services website at
http://www.cignagovernmentservices.com/
Non-DWC specific coding and billing issues: see the CMS website at
http://www.cms.hhs.gov/
Professional Fee Schedule by Texas Region: see the Texas Medical Association website at
http://www.texmed.org/Template.aspx?id=6611
Professional services (covers most professional services): see the TrailBlazer Health website at
http://www.trailblazerhealth.com/
Complaints
Complaint Resolution form
Fast Facts: Disputes and Complaints in the Workers’ Compensation System
Reporting Your Complaint
TDI Complaint Resolution at (800) 372-7713 or fax (512) 490-1030
Designated Doctor Resources
Designated Doctor homepage
DWC Form-032, Request for Designated Doctor
Designated Doctor / Impairment Rating Training
DD Publications
Quick Reference Guide for Designated Doctors
Dispute Resolution
Fast Facts:
Disputes and Complaints
in the Workers’ Compensation System
Medical
Fee
Dispute Resolution
(contact MFDR staff at 512-804-4812)
Medical
Necessity
- For information about the Medical Dispute Resolution by Independent Review Organizations (IRO) process see the
IRO web-page
.
Fast Facts: Review of Medical Necessity Disputes by an IRO
Participating in a Benefit Review Conference
Find a Doctor
Find a Doctor
Office of the Medical Advisor
Office of the Medical Advisor homepage
Performance Based Oversight
2009 Performance Based Oversight Assessment Results
System Monitoring & Oversight homepage
Things You Need to Know
TDI-DWC
Contact Information
Customer Services 800-252-7031
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Central Office & Field Offices
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Health Care Provider/Medical Forms Home Page
Commissioner Bulletin B-0052-07 -
Retaining the Statement of Pharmacy Services (DWC-66)
Fast Facts: Medical Forms
Memos
Hospital Billing Practices Review
TDI-DWC Clarifies Documentation Required for Payment of Medical Bills
Guidance for Implementation of Legislative Changes
Providing Health Care to Injured Employees in the Texas Workers’ Compensation System Beginning September 1, 2007
Reminder of March 1, 2008 Deadline for Filing for Subclaimant Status
How to Request Public Information
Training and Resources
2009 Workers' Compensation Educational Conference
Basic Workers’ Compensation for Medical Office Staff
-
New dates for this seminar will be scheduled beginning in March 2009. Check the
events calendar
for a seminar in your area.
Designated Doctor and Impairment Rating Education
Events & Training Calendar
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Educational Session News Releases
FastFacts for Health Care Providers
Fee Guidelines Information
2008 Workers' Compensation Educational Conference Resources
Treatment and Return to Work Guidelines (Disability Management)
Treatment and Return to Work Guidelines
Disability Management homepage
Return to Work homepage
Workers' Compensation Health Care Networks
WCNET homepage
Informal Network Reporting
Workers' Compensation in Texas
Fast Facts:
Financial Disclosure
About the Division of Workers' Compensation
Texas Workers' Compensation Act
and
Rules
Workers' Compensation in Texas Fact Sheet
For more information contact:
Last updated: 09/08/2009
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