Friday, December 18, 2009

workers compensation in medical billing

Workers Compensation:

Workers compensation is a form of insurance that provides compensation medical care for employees who are injured or sick during the job.

1. Medical treatment and rehabilitation
2. Loss of wages (disability payments)
3. Permanent disability (payments in one sum or weekly or monthly payments)
4. Vocational rehabilitation
5. Compensation to the dependents of employees who are fatally injured (death benefits)

Claim is submitted on CMS 1500 though certain carrier but few required their own. but the basic information which insurance companies are required is
Employeer Information
Injury Date
and other information (normally used in claims)

and without above information, claim will not get paid.

The amount paid by the workers compensation carrier to the provider is in full and final settlement of the claims. Appeal can also be made if you are not agree with the payments. No account should the patient be billed for the balance after a workers compensation claim has been paid.

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