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…
Verifying Workers’ Compensation Coverage
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…
Managing the Workers’ Compensation Case
Making Workers’ Comp Cases Successful The core aspects that lead to successful workers’ compensation cases are early identification, authorization, documentation, appropriate coding, and billing. Early Identification You must have procedures in place to identify patients with work-related injuries for which they are seeking treatment before treatment begins. Pre-treatment authorization is often required for patients with…