OWCP Enhancement to Prevent Overpayments
Effective June 1, 2024, the Office of Workers’ Compensation Programs (OWCP) will implement an enhancement to prevent overpayments created from denied adjustment requests.
On or after June 1, 2024, if an adjustment is submitted on a bill that has already been paid but subsequently denied in its entirety, the denial will be reflected on the Remittance Advice (RV), and the bill inquiry screen will display a status of denied.
In such cases, when providers seek payment reconsideration for the denied bill, it is essential to submit the adjustment request using the previously paid bill. This ensures that the adjustment is correctly associated with the original bill and facilitates the review process for payment reconsideration.
Providers are encouraged to use the Bill Inquiry and Bill Adjustment features of the Workers’ Compensation Medical Bill Processing (WCMBP) Portal https://owcpmed.dol.gov/ to review bill history.
For questions, contact our Call Center at the applicable phone 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 DFEC Recoupment Process
Effective April 20, 2024, the Office of Workers’ Compensation Programs (OWCP) Division of Federal Employees’ Compensation (DFEC) will implement a recoupment process for providers’ outstanding debts.
Providers may have partial or full payment amounts applied to existing overpayments until the full overpaid amount is satisfied and all debts are closed.
Providers can refer to the remittance voucher (RV) for overpayment summary, recoupment summary, and recoupment details. A Remittance Voucher User Guide is available for an explanation on how to read the sections in the RV.
In addition, providers can also use the View Accounts Receivable feature after logging in to the Workers’ Compensation Medical Bill Processing (WCMBP) portal OWCP Connect (dol.gov). Providers can filter or sort results on the Accounts Receivable (AR) List to identify overpayment history, verify remaining debt balance owed, and review accounts receivable details by clicking on the AR Number.
Annual 1099s balances will be updated to reflect all recoupments.
For additional information, 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
OWCP Fee Schedule Calculator Tool
Effective April 20, 2024, OWCP will release a new Fee Schedule Calculator tool on the Workers’ Compensation Medical Bill Processing (WCMBP) web portal https://owcpmed.dol.gov/portal/. This feature will be available to providers after logging in to the secure WCMBP portal.
The fee schedule calculator is a tool used to estimate the maximum allowable amount for services rendered and billed on the OWCP 1500 Professional form or the ADA Dental form. It is important to note:
- While the fee schedule calculator tool estimates payment, it does not guarantee eligibility or coverage for your specific service.
- The fee schedule calculator tool will not advise if services are appropriate for the accepted condition and will not confirm if authorization is required. Please use the Claimant Eligibility Inquiry and Authorization Submission features to verify this information.
Please refer to the Fee Schedule Calculator Quick Reference Guide for step-by-step instructions.
For additional information, 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