CWCI Seminar: Preparing For New Medical Billing and E-Billing Standards

In April 2011, the DWC adopted new medical billing standards for paper bills (effective October 15, 2011) and electronic billing standards (effective October 18, 2012).

On Thursday, October 6, CWCI will conduct two separate programs at the 5-Star Conference Center at City Center in Oakland covering these regulations:

      • The first program will be a 2.5 hour seminar (9-11:45 a.m.) reviewing the general rules for both paper and electronic medical billing & payment, as well as the standards specific to paper billings. 
      • The second program (12:45-4:30 p.m.) will examine the e-billing standards and outline the extensive preparations that will be necessary for billers, payors and others to meet the 2012 deadline.

These programs will be presented by CWCI Claims and Medical Director Brenda Ramirez and independent consultant Stacy Jones of Oakland-based SLJ Consulting, both of whom served on the DWC’s Task Force on California e-billing requirements and worked with the IAIABC EDI Medical and ProPay Committees to help develop national EDI standards for workers’ compensation. CWCI General Counsel Mike McClain will serve as moderator of the sessions.

This training is appropriate for claims managers, bill reviewers and others who deal with medical billing issues (certificates of attendance will be provided at the end of each session for those who need credit toward the Department of Insurance claims adjuster and medical bill reviewer certification requirements). The more technical afternoon program will be especially helpful to programmers and technical staff who deal with medical billing and reimbursement matters, and those responsible for ensuring medical security. Because the general rules for both paper and electronic billing will be covered in the morning session, it is recommended that those attending the afternoon session also attend the morning program.

Space is very limited, so we are alerting our members in advance of announcing the program to the public. The cost for CWCI member company employees is $100 per session; $150 for both. CWCI may offer these programs as webinars at a later date, depending on demand. For more information or to register for the October 6 sessions, go to the Seminar section of the CWCI website, www.cwci.org.

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