North Carolina will be moving to an ebilling system for workers’ compensation claims beginning in March 2014. You may begin to get up to speed on the process through these resources offered by the AMA.
The old thinking that electronic billing (eBilling) processing doesn’t work for workers’ compensation and auto claims submission is just that—an old way of thinking. Today, thousands of medical bills for workers’ compensation and auto injury patients are being submitted electronically every day. The AMA has worked at the national and state levels to ensure that the same nationally developed, Health Insurance Portability and Accountability Act (HIPAA)-compliant standard electronic transactions that you use today to submit government and commercial claims can be used for workers’ compensation and auto claims as well. This has enabled practice management vendors and clearinghouses to provide electronic solutions to physicians and payers for workers’ compensation and auto claims.
As a result, physician practices can often use existing practice management solutions to submit claims for all lines of business.
Access the AMA’s “Workers’ compensation eBilling vendor” listing to learn about some of the many practice management system and clearinghouse vendors offering workers’ compensation eBilling solutions. This resource can help your practice adopt workers’ compensation eBilling, by introducing vendors that may assist physician practices in automating workers’ compensation claims.
Visit the AMA’s workers’ compensation toolkit at www.ama-assn.org/go/ebilling for additional resources, including an interactive map which provides state-specific resources on workers’ compensation medical reporting and billing requirements, state rules and regulations, how to file an appeal, and more.
This tip is a part of the AMA Practice Management Center’s “Prescription for a healthier practice” series to help physicians and their staff examine how their practices are performing in key administrative processes.