Workers' compensation educational courses and speakers bureau

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. 

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.

Who should attend:  Health care providers and medical office staff interested in learning about the Texas workers’ compensation system.

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

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.

Who should attend: 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.

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.

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.

Who should attend:  Health care practitioners 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.

Medical Billing, Processing, and Payment – This video covers the requirements for health care providers completing and submitting medical bills, the requirements for insurance carriers processing medical bills, and how reimbursement is determined for health care services provided. 

Who should attend:  Health care practitioners and medical office 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.

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.

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

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.

Telemedicine and Telehealth Services in Texas Workers’ Compensation – This video provides an overview of telemedicine and telehealth in Texas workers’ compensation. The session will discuss covered telemedicine and telehealth services, eligible health care providers and billing for telemedicine and telehealth services.

Who should attend: Health care providers, medical office billing staff and insurance industry representatives.

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.