Frequently Asked Questions- Workers’ Compensation Q: I contacted a patient’s employer and was told that I must contact the MCO handling the case – what is a MCO? A: A Managed Care Organization (MCO) is a private company that an employer selects to medically manage the workers’ compensation claims for injured employees. MCOs are often…
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Support Tool Once a clinic has determined the type of coverage and located state and federal online provider resources, it is time to verify the benefits. Although the state and federal website portals offer great resources when it comes to manuals and forms, they do not provide the information necessary to ensure reimbursement for the…
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Helpful Tools for Verification
Once you have determined the type of coverage and located your state and federal online provider resources, it is time to verify the benefits. Although the state and federal website portals offer great resources when it comes to manuals and forms, they do not provide the information you need to ensure reimbursement for the services rendered.
It can be challenging to think about all the questions you need to ask when verifying coverage for a work-related injury. The support tool in this module will help you gather the information you need when calling about a work injury claim. Check out the Rapid Tutorial titled Utilize the Workers’ Compensation Verification Form which provides a brief overview of the verification form and how to customize it for your clinic. You may want to download the Support Tool titled Workers’ Compensation Verification Form ahead of time and follow along during the tutorial.
This tutorial will provide a nice overview of the difference between state and federal workers’ compensation. It provides the resources a clinic needs to track down state related workers’ compensation resources. It will also cover how chiropractic coverage can be confirmed and authorization for treatment obtained. Since verification is the only way to confirm that…
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Download Reference Documents Most of the resources a clinic will need can be found on the dedicated Medicaid website for their state. Listed below are some resources developed by CMS that can assist with understanding key aspects of the Medicaid program. How to Use the Medicaid National Correct Coding Initiative (NCCI) Tools Medicaid Provider Enrollment…
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Medicaid FAQs Q: Does Medicaid cover chiropractic or physical therapy? A: States are required to cover certain benefits and others are optional. Chiropractic coverage is not a mandatory benefit but rather is considered optional. To learn what your state covers, contact your state Medicaid agency; a list of state agencies can be found at www.Medicaid.gov Q:…
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