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TDI Adopts NCCI Injury Codes
06/29/2020
The Texas Department of Insurance has approved COVID-19 injury codes proposed by the National Council on Compensation Insurance.
The NCCI in April proposed two new injury description codes 83-COVID-19 and 83-Pandemic. TDI has now adopted the codes to allow proper reporting of these types of
Category: News
New Health Care Reimbursement Manual Rule Effective Feb. 9
01/28/2009
from the division's website here
httpwww.fldfs.comWCAPPS CPTCPT_Agree9.asp
Source Fla. DWC
Category: News
Does a PTP get paid for Depo's (California)
04/20/2009
This psych doctor was requested to go to a depo by the DA. I believe the doctor should get paid but the doctor is the ptp and they are questioning the report of the ptp. I not sure why that might make a difference.
If the ptp gets paid is it by Labor code some cpt code or arrange fee with the
Category: Forums
Re: Muscle Testing not Payable on Same Date as EM? (California)
08/29/2013
Thanks for clarifying CPT 95852.
Regarding ROM and 95851 if I understand correctly you can bill up to four extremities - right upper left upper right lower and left lower. And then three for the trunk - cervical thoracic and lumbar. So hypothetically if you did ROM for the entire body you
Category: Forums
Classification Assurance Dept Formed By NCCI
01/14/2004
stakeholders including Insurance Departments carriers affected employers and trade associations.
Each year NCCI prepares a research plan identifying the codes to be reviewed that year. The research plan is based on input from the following sources
- Analysis of NCCI data to identify
Category: News
UnitedHealth Divesting Ingenix Will Have Long-Term Significance
01/16/2009
or CPT codes. HIAA was taken overdisappeared about a decade ago and Ingenix took over the aggregation and distribution of such data. which has become known as "UCR" for "Usual Customary and Reasonable".For about 10 years all was fine at least as far as most insurers were
Category: Industry Insights
Killing Compounds and Workers' Comp
10/24/2012
; Search for the facility name in your medical bill data along with the CPT codes associated with ESI.
Identify any claimants that may have been affected and get your medical director and nurse case managers involved.
Get your
Category: Industry Insights
Hard Choices: Mental Illnesses v. Medications
10/03/2014
diagnostic. And they can be billed under physical medicine CPT codes. So don't freak out when you see a CBT recommendation.
Second many treatment options require a psych eval to assess whether the option is viable for the injured worker. Things like spinal cord stimulator trials inpatient
Category: Industry Insights
Friedman: 8 Rules to Know for Telehealth Medical Treatment Exams
04/13/2020
required for telephonic examinations and can be found under CPT billing codes 98966 98967 98968 99941 99942 and 99943.
Rules that govern a telehealth examination may be promulgated only by the DWC. An insurance company is not allowed to establish additional criteria impose additional
Category: Industry Insights
Commission Hopes to Put Medical Fee Schedule in Place Feb. 1
12/08/2008
said. Thats something that was raised two years ago she added.
Butkus had asked for clarification of language regarding maximum allowable payments along with a number of changes related to use of various treatment codes.
Jay Shattuck executive director of the Employment Law Council of the
Category: News
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