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Texas Department of Insurance
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Workers' compensation educational courses and speakers bureau


Employers and insurance carriers

Course 25293 - 1 Credit Hour: Return to Work (general insurance continuing education credit)

This course can be requested by emailing DWCEvents@tdi.texas.gov.

Returning injured employees back to work as soon as medically possible following an injury is a major goal of the workers' compensation system.

This course is offered in person to help employers, adjusters and health care providers understand the benefits of early return to work following a work related illness or injury. Employers will learn how to significantly reduce their workers' compensation costs, eliminate unnecessary lost time and control costly staff turnover. Adjusters and employers will learn how to work effectively together and use the tools provided by the workers' compensation system to improve return to work outcomes.

The Division of Workers’ Compensation Return-to-Work training seminars are scheduled by request only. To request a seminar for your organization or business, please email DWCEvents@tdi.texas.gov. For any questions or additional event information please contact Amy Rich at 512-804-4809 or RTW.Services@tdi.texas.gov.


Health care provider webinars

See the events calendar for dates and registration for live webinars. 

Live webinar topics | Pre-recorded topics

Billing and Reimbursement for Designated Doctor Examinations and Required Medical Examinations – This webinar reviews billing for DWC ordered designated doctor examinations and insurance carrier requested required medical examinations (RMEs). Billing examples for the various types of examinations will be reviewed. 

Who should attend:  Designated doctors, required medical exam doctors, and medical office billing and collection staff. 

Billing and Reimbursement for Maximum Medical Improvement and Impairment Rating Examinations by Certifying Doctors – This webinar provides billing codes and reimbursement amounts for Maximum Medical Improvement (MMI) and Impairment Rating (IR) examinations performed by doctors, other than designated doctors and required medical exam doctors. Billing examples include billing for tests performed by other practitioners who assist those doctors.

Who should attend:  Doctors who perform MMI/IR examinations (certifying doctors); practitioners who perform range of motion, strength, and sensory testing, and consulting doctors who perform specialty testing for certifying doctors (including designated doctors and RME doctors); and medical office billing and collection staff

Certified Workers’ Compensation Health Care Networks – This webinar looks at the general requirements for providing health care through a certified workers’ compensation health care network (network). Health care practitioners and medical office staff will learn how to identify a network claim through the patient intake and registration process. The responsibility for verifying network contracts and obtaining approval for out-of-network health care is also discussed.

Who should attend:  Health care practitioners participating in or out of workers’ compensation networks and medical office staff who are responsible for the administrative processes associated with workers’ compensation patients.

Determining Medically Necessary Health Care – This webinar focuses on the utilization review process for determining medical necessity when preauthorization of health care is requested and during medical bill processing. This webinar also reviews the process for resolving medical necessity disputes, and documenting exceptions to the treatment guidelines.

Who should attend: Health care practitioners, medical assistants, preauthorization, billing and collection staff.

Dispute Resolution When Medical Bills are Denied for Compensability, Extent of Injury or Liability – This webinar looks at strategies for avoiding denials for compensability, extent of injury, and liability for medical bills and includes a review of the process for resolving these disputes, including providing causation information.

Who should attend: Health care practitioners and medical office billing and collection staff.

Health Care Provider Billing Procedures – This webinar provides information on medical bill completion and submission, including filing deadlines. It also addresses required documentation and provides resources to health care providers.

Who should attend: Health care practitioners and medical office billing and collection staff.

Medical Fee Dispute Resolution – This webinar reviews the latest revision of the medical fee dispute resolution rule allowing electronic submission of requests, and the process for resolving disputes over the denial or reduction of a medical bill for non-workers’ compensation network or out-of-network health care services. This webinar does not include dispute resolution when medical bills are denied for compensability/extent of injury or medical necessity.

Who should attend:  Medical office billing and collection staff.

Reimbursement for Professional and Workers’ Compensation Specific Services – This webinar focuses on Texas workers’ compensation reimbursement policies for professional medical services, including miscellaneous reimbursement. It also addresses the insurance carrier requirements for medical bill processing and resources.

Who should attend: Health care practitioners and medical office billing and collection staff.

Pre-recorded topics

Introduction to Texas Workers’ Compensation System – This video covers the basics of the workers’ compensation system in Texas. Viewers will learn about workers’ compensation coverage for employers, the foundation of the medical billing and reimbursement system, and workers’ compensation forms.

Intended for:  Health care providers and medical office staff interested in learning about the Texas workers’ compensation system.

Health Care Provider Roles and Responsibilities – This video explains the requirements for doctors and other health care practitioners participating in the Texas workers’ compensation system. The information includes the various roles in which a health care practitioner may serve, and the responsibilities of each health care practitioner.

Intended for: Health care practitioners providing health care to Texas workers’ compensation patients and medical office staff who are responsible for the administrative processes associated with workers’ compensation patients.

Identifying a Workers’ Compensation Patient – This video emphasizes the importance of the patient registration and intake processes in preventing non-payment for health care services provided to a Texas injured employee. Online resources for verifying an employers’ workers’ compensation coverage and obtaining claims administration information will also be explained.

Intended for:  Health care practitioners and medical office staff who are responsible for the administrative processes associated with workers’ compensation patients.

Health Care Provider Billing Procedures – In this video you will learn about the requirements for health care providers completing and submitting medical bills, including filing deadlines.

Intended for:  Health care practitioners and medical office billing and collection staff.

Reimbursement for Professional and Workers’ Compensation Specific Services    

In this video you will learn about the requirements for insurance carriers processing medical bills, and how reimbursement is determined for professional and workers’ compensation specific services.

Intended for:  Health care practitioners and medical office billing and collection staff.

Texas Workers’ Compensation Reimbursement Policies and Methodologies

This short video illustrates the method used to determine reimbursement for professional medical services.

Intended for:  Health care practitioners and medical office billing and collection staff.

Return to Work and the DWC Form-073, Work Status Report – This video explains the workers’ compensation system goal of facilitating the injured employee’s ability to work after sustaining an injury and why it is important. The purpose of the DWC Form-073, and the requirements for submitting the form is also covered.

Intended for: All health care practitioners, medical assistants, and medical office staff who are responsible for the administrative processes associated with workers’ compensation patients.

Billing and Reimbursement for Designated Doctor Examinations and Required Medical Examinations – In this video you will learn about the examinations conducted by designated doctors and required medical examination doctors, the correct codes to use on the medical bill, and the reimbursement amounts for the examinations.

Intended for:  Designated doctors, required medical exam doctors, and medical office billing and collection staff.

Billing and Reimbursement for Maximum Medical Improvement and Impairment Rating Examinations by Certifying Doctors – In this video you will learn about the correct billing codes and reimbursement amounts for Maximum Medical Improvement and Impairment Rating Examinations conducted by treating and referral doctors.

Intended for:  Doctors who perform MMI/IR examinations (certifying doctors); practitioners who perform range of motion, strength, and sensory testing, and consulting doctors who perform specialty testing for certifying doctors (including designated doctors and RME doctors); and medical office billing and collection staff.

Medical Fee Dispute Resolution (MFDR) – This video explains the process for resolving disputes related to a reduction or denial of payment for health care services provided to injured employees who are not subject to a workers’ compensation health care network (non-network claims) and for health care services provided by an out-of-network health care provider to injured employees who are subject to a workers’ compensation health care network (network claims).

This video does not include medical fee disputes related to health care services provided for network claims by an in-network health care provider, disputes involving payment denials for compensability, extent of injury, or medical necessity.

Who should attend:  Medical office billing and collection staff.

The Preauthorization Process: Medical Necessity and Utilization Review - This webinar outlines which non-network health care services require preauthorization and the steps to request preauthorization.  The webinar reviews the presumption of medical necessity and how to document exceptions to the treatment guidelines.  Viewers will learn about utilization review during preauthorization and the independent review process for resolving medical necessity disputes.

Who should attend: Health care practitioners, medical assistants, preauthorization, billing and collection staff.

For more information, contact: DWCEvents@tdi.texas.gov

Last updated: 6/15/2022