Workers' Compensation Resources for Health Care Providers
- Disciplinary Orders Against Health Care Providers (HCPs)
- Billing and Reimbursement
- Comp Connection for Health Care Providers
- Complaints
- Designated Doctor Resources and Information
- Dispute Resolution
- Find a Doctor
- Helpful E-mail Addresses and Websites for Providers
- Impairment Rating Doctor Training
- Office of the Medical Advisor
- Performance Based Oversight
- Pharmacy
- Things You Need to Know
- Training and Resources
- Treatment and Return to Work Guidelines
- Workers' Compensation Health Care Networks
- Workers' Compensation in Texas
Billing and Reimbursement
- eBill (Electronic Medical Billing) homepage
- Clean Claim and eBill Workers' Compensation Companion Guide
- Health Care Provider's Intake and Registration Practices
- Fee Guidelines
- Commissioner’s Bulletin No. B-0044-11 - Changes to Conversion Factors for Workers’ Compensation Medical Fee Guidelines 28 TAC §134.203 Medical Fee Guideline for Professional Services Chapter 134 – Benefits – Guidelines for Medical Services, Charges and Payments Subchapter C. Medical Fee Guidelines
- Medical Fee Guidelines Frequently Asked Questions
- Health Care Provider/Medical Forms Home Page
- CMS 1500 form information (CMS website)
- Preauthorization
- Memos
- External Resources (for more see Helpful E-mail Addresses and Websites for Providers)
- Claim adjustment reason codes, see: Washington Publishing Company EDI Resources at http://wpc-edi.com/reference/codelists/healthcare/claim-adjustment-reason-codes/.
- Dental, home health and some DME: see the Texas Medicaid and Healthcare Partnership website at http://www.tmhp.com/default.aspx
- Durable medical equipment: see the Cigna Government Services website at http://www.cgsmedicare.com/
- Non-DWC specific coding and billing issues: see the CMS website at http://www.cms.hhs.gov/
- Professional services (covers most professional services): see the TrailBlazer Health website at http://www.trailblazerhealth.com/
Complaints
- Complaint Resolution form
- Fast Facts: Disputes and Complaints in the Workers’ Compensation System
- Reporting Your Complaint
- TDI Complaint Resolution at 512-804-4700 or fax 512 490-1030
Dispute Resolution
- Fast Facts: Disputes and Complaints in the Workers’ Compensation System
- Medical Fee Dispute Resolution (contact MFDR staff at 512-804-4812)
- Medical Necessity - For information about the Medical Dispute Resolution by Independent Review Organizations (IRO) process see the IRO web-page.
- Letter of Clarification (LOC)
- Participating in a Benefit Review Conference
Performance Based Oversight
Things You Need to Know
- TDI-DWC Contact Information
- Customer Services 800-252-7031
- Other Helpful Numbers
- Central Office & Field Offices
- Field Offices by County
- Healthcare Provider FAQs
- Health Care Provider/Medical Forms Home Page
- Sample Notice for Health Care Provider re: Date of Maximum Medical Improvement (MMI) and Impairment Rating Assigned in English, Spanish, Chinese, Vietnamese (PDF, Word)
- Commissioner Bulletin B-0052-07 - Retaining the Statement of Pharmacy Services (DWC-66)
- Fast Facts: Medical Forms
- Providing Health Care to Injured Employees in the Texas Workers’ Compensation System Beginning September 1, 2007
- How to Request Public Information
Training and Resources
- Basic Workers’ Compensation for Medical Office Staff -check the events calendar for a seminar in your area.
- Designated Doctor and Impairment Rating Education
- Events & Training Calendar / Educational Session News Releases
- FastFacts for Health Care Providers
- Fee Guidelines Information
Treatment and Return to Work Guidelines (Disability Management)
- Treatment and Return to Work Guidelines
- Disability Management homepage
- Return to Work homepage
- Official Disability Guidelines Overview
Workers' Compensation Health Care Networks
Workers' Compensation in Texas
- Overview of the Workers' Compensation System
- Fast Facts: Financial Disclosure
- About the Division of Workers' Compensation
- Texas Workers' Compensation Act and Rules
- Workers' Compensation in Texas Fact Sheet
For more information contact:
Last updated: 01/25/2012
