Upcoming OWCP Focus Group

OWCP is interested in hearing from you on ways we can improve your experience in working with OWCP. Please join us for an open-forum conversation to share your experiences, thoughts, and recommendations. These Focus Groups will be held June 27-29, 2023. We invite you to register for one of the available sessions on June 27th, 28th, or 29th. Space is limited to allow for substantive conversations about your experiences.

OWCP-CNSI Virtual Help Session

OWCP-CNSI will host a virtual help session on Friday June 2nd from 3:00-4:00 pm ET. Providers will have an opportunity to ask general questions regarding the medical bill processing system including enrollment, authorizations, billing, and web portal features. Providers will be able to gain insight on helpful information, available tools and to request further assistance. During this open forum, attendees are not obligated to stay for the full hour. Please see the News section for further information

OWCP-CNSI Virtual Help Session

OWCP-CNSI will host Virtual Help Session on Friday June 2nd from 3:00-4:00 pm ET. Providers will have an opportunity to ask general questions regarding the medical bill processing system including enrollment, authorizations, billing, and web portal features. Providers will be able to gain insight on helpful information, available tools and to request further assistance.

During this open forum, attendees are not obligated to stay for the full hour

If you are interested in joining, please click this link to register. Attendee name and email are required to register for the event. Once entered, you will receive an invitation with a link to join the event.

Tips for the Virtual Help Session call:

  • Please refrain from referencing specific claimant information or disclosing other protected health information (PHI) during the call
  • Participants can participate via voice or chat during the session
  • The help session will be memorialized via recording and/or transcription to ensure all questions and issues are captured
  • Providers are not required to attend for the duration of the call

We welcome the opportunity to connect with you!

If you need any technical assistance prior to or during the call, please contact WCMBP_TRAINING@cns-inc.com for help.

Authorization Match Improvement

Effective May 13, 2023, the OWCP Workers’ Compensation Medical Bill Processing (WCMBP) System will allow authorization match by OWCP ID or Billing NPI for DEEOIC and DFEC bills.

This enhancement will result in decreased denials due to authorization mismatch for providers with multiple locations associated with one billing NPI.

There are no changes to the steps for submitting authorization requests or bills.

Providers should ensure the billing NPI on file is up to date. If the billing NPI associated with your OWCP Provider ID needs to be updated, please use the Maintain Provider Information option on the Medical Bill Processing Portal. Please refer to this link for the Updating Provider Information Resource Guide.

For additional information, please contact our Call Center at the number listed below, where a Call Center representative will be happy to assist you.

  • Division of Coal Mine Workers' Compensation (DCMWC):
    1-800-638-7072
  • Division of Energy Employees' Occupational Illness Compensation (DEEOIC):
    1-866-272-2682
  • Division of Federal Employees' Compensation (DFEC):
    1-844-493-1966

OWCP Remittance Voucher (RV) Re-design

Effective May 13, 2023, the Office of Workers’ Compensation Programs (OWCP) Remittance Voucher will be redesigned for providers and claimants to increase understanding of the payments and associated bill statuses.

Enhancements include, but are not limited to:

  • Adding new Payment, Recoupment, and Overpayment summary tables to explain payments and overpayments
  • Improving the Bill Summary table to explain amount paid in the Bill Payments field, clearly identify overpayments as Amount Due to DOL from this pay period, and show Total Bill Count including total number of Pended Bills (In Process)
  • Improving the Bill Detail table to show Billed Units along with a new column of Paid Units, add the Conflict TCN for lines denying for exact duplicate EOB denial reason 80101, and include new columns Deduction Type and Amount and Net Paid Amount to explain how IRS Backup Withholding or Levies are applied to payments
  • Creating a new Legend to provide a short description of each table

 

Remittance Vouchers will continue to be mailed to the mailing address on file and available in PDF format on the Workers’ Compensation Medical Bill Processing (WCMBP) Portal.

An updated Remittance Voucher (RV) user guide will be available after May 13, 2023 on the WCMBP Portal for providers at Provider Payments | OFFICE OF WORKERS' COMPENSATION PROGRAMS (dol.gov) and for claimants at Claimant's Corner | OFFICE OF WORKERS' COMPENSATION PROGRAMS (dol.gov)

For additional information, please contact us at the number listed below, where a Call Center representative will be happy to assist you.

  • Division of Coal Mine Workers' Compensation (DCMWC):
    1-800-638-7072
  • Division of Energy Employees Occupational Illness Compensation (DEEOIC):
    1-866-272-2682
  • Division of Federal Employees' Compensation (DFEC):
    1-844-493-1966

 

New DFEC Durable Medical Equipment Utilization Review

Effective May 13, 2023, the Office of Workers’ Compensation (OWCP) Division of Federal Employees’ Compensation (DFEC) Program is implementing new utilization review (UR) for Durable Medical Equipment (DME) procedure codes and modifier combinations.

Please refer to 23-07 DFEC Circular for additional information.

Procedure Code Modifier New Utilization Review Restrictions
E1800. E1801, E1802, E1805, E1806, E1810, E1811, E1812, E1815, E1816, E1818, E1820, E1821, E1825, E1830, E1831, E1840 RR Rental of extension/flexion device is limited to once in 31 days
E0100, E0105, E0110, E0112, E0114, E0621. E0955, E2378 NU Purchase of patient’s sling or seat is limited to once in 366 days
E0670, E0720, E0730, E0748, E0760 NU Purchase of DME equipment is limited to once in a lifetime
E0156, E0158, E0159, E0731, E2102 NU Purchase of DME equipment is limited to once in 1095 days
E1020 NU Purchase of DME equipment is limited to twice in 1825 days
E1028 NU Purchase of DME equipment is limited to six in 366 days
E0130, E0135, E0140, E0141, E0143, E0144, E0147, E0148, E0149, E0165, E0170, E0171, E0181, E0182, E0183, E0184, E0185, E0186, E0187, E0193, E0194, E0196, E0197, E0198, E0235, E0240, E0245, E0247, E0248, E0250, E0251, E0255, E0256, E0260, E0261, E0290, E0291, E0292, E0293, E0294, E0295, E0301, E0302, E0303, E0304, E0305, E0316, E0471, E0620, E0625, E0627, E0629, E0630, E0635, E0636, E0637, E0638, E0639, E0640, E0641, E0642, E0958, E0968, E0986, E1002, E1003, E1004, E1005, E1006, E1007, E1008, E1010, E1012, E1029, E1030, E1035, E1036, E1038, E1039, E1050, E1060, E1070, E1083, E1084, E1085, E1086, E1087, E1088, E1089, E1090, E1092, E1093, E1100, E1130, E1140, E1150, E1160, E1161, E1170, E1171, E1172, E1180, E1190, E1195, E1200, E1221, E1222, E1223, E1224, E1225, E1226, E1227, E1228, E1230, E1240, E1250, E1260, E1270, E1280, E1285, E1290, E1295, K0800, K0801, K0802, K0806, K0807, K0808, K0812, K0813, K0814, K0815, K0816, K0820, K0821, K0822, K0823, K0824, K0825, K0826, K0827, K0828, K0829, K0830, K0831, K0835, K0836, K0837, K0838, K0839, K0840, K0841, K0842, K0843, K0848, K0849, K0850, K0851, K0852, K0854, K0855, K0856, K0857, K0858, K0859, K0860, K0861, K0862, K0863, K0864, K0868, K0869, K0870, K0871, K0877, K0878, K0879, K0880, K0884, K0885, K0886, K0898, K0899 NU Purchase of DME equipment is limited to once in 1825 days

For additional information, you may contact our Call Center at the number listed below, where a Call Center representative will be happy to assist you.

Division of Federal Employees' Compensation (DFEC):
1-844-493-1966

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