Worker's Compensation Billing & Collections

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We understand the importance of proper and timely billing of workers’ compensation claims. Our clients throughout New York and New Jersey rely on us to handle their workers’ compensation claims. With GreenBills your practice has a partner with the knowledge and experience to handle a limitless number of workers’ compensation claims.

We offer the following services:

Our Workers Compensation EMR
includes the following

Worker’s compensation, also known as workers’ comp, is a type of insurance that covers injuries that occur during work. Employers typically purchase workers’ comp policies directly from carriers, however, some states administer these policies directly.

Workers Compensation rules vary by state, therefore, medical billers must remain abreast of the workers’ comp rules in their state, including their limitations and differences from other types of medical insurance.

Workers’ comp claims require greater oversight to ensure the claimant has a work-related injury and receives injury-specific treatment. The billing procedure for workers’ comp consists of several phases, including filing the claim, patient treatment and processing the claim.

When an employee is injured on the job, typically they will file a claim through their employer’s workers’ comp carrier. The employer’s HR Department normally will handle the claim by submitting the claim to the employer’s insurance company. Some employers may administer their own workers’ compensation claims, this is often the case with government jobs.

Once a claim is started, the employee will receive a claim number, which will identify the injury and must be included on all documents. The workers’ comp carrier will also assign an adjuster, who will authorize the employee’s treatment, review the employee’s recovery, and coordinate the claims process. In some cases, the adjuster also authorizes the employee’s primary care provider to provide treatment or direct the employee to obtain treatment from the carrier’s provider network

Frequently, an employee will go to their primary care physician who will help the employee fill out the necessary paperwork. In the majority of circumstances, the primary physician will refer the patient to a specialist who handles the specific injury the employee suffered.

Depending on the state where the employee works the forms will vary. In many states, the employees use the CMS-1500 claim form to submit workers’ comp claims.

In New York State, workers compensation is handled by NYS Workers’ Compensation Board which is a government agency that approves and handles all workers’ comp-related claims. As of October 2019, NYSWCB accepts electronic billing for all claims, however, ink signatures are still required on the majority of forms. (NOTE: Ink signature requirement has been waived during the Covid-19 pandemic.)

The adjuster revises medical bills according to the carrier’s fee schedule. Providers aren’t allowed to bill patients for any remaining balance on workers’ comp claims. Providers also agree to accept the fee schedule rates as payment in full, since workers’ comp doesn’t typically include co-insurance or co-payments.

We are a leader in processing workers’ comp claims in New York and New Jersey. By leveraging technology we are able to streamline the workers’ compensation process including auditing of services, billing and coding. Contact us today for a FREE consultation.

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Workers Compensation Billing & Collections
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