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 are a Premier Billing Company For Workers’ Compensation Claims in New York and New Jersey.
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.
With GreenBills your practice has a partner with the knowledge and experience to handle a limitless number of claims.
We have certified workers’ compensation coders.
We are up-to-date with workers’ compensation fee schedules and billing methods.
We offer a no-obligation audit of your medical practice from intake to litigation or arbitration