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Optum PBM error instructions: If you are receiving a login error message on the Optum PBM portal, please click here for further information and resolution.

DFEC Updates for Surgical Authorization - As of July 9, 2022, OWCP will implement enhancements to Surgical Package Authorization and Bill Processing for DFEC. Visit our News section for more information.

DCMWC Announcement Regarding In-Facility Pulmonary Rehabilitation Services and Procedure Codes: Effective July 1, 2022, the Healthcare Common Procedure Coding System (HCPCS) pulmonary rehabilitation procedure code G0424, will no longer be covered. Visit the DCMWC News page for the full announcement, including authorization and billing information.

IMPORTANT NOTICE CONCERNING COVERAGE OF LUNG TRANSPLANTS BY THE FEDERAL BLACK LUNG PROGRAM: DCMWC ‘s Lung Transplant Authorization Process. - Visit the DCMWC News for full details.

Deactivation Letter: OWCP Providers who recently received a “Deactivation Letter” due to expired license can re-activate their provider number by completing the re-enrollment process. For step-by-step instructions on re-enrolling, please do the following:
*Registered providers, click here.
*Unregistered provider, click here.

Updates

OWCP Updates to DFEC Surgical Package Authorization and Bill Processing - 07-01-2022 - 07-01-2022

As of July 9, 2022, OWCP will implement enhancements to Surgical Package Authorization and Bill Processing for DFEC. Updates will be made to better reflect the providers involved in providing the surgical procedure.

Enhancements will include:

  • Adding new Professional Type for Co-Surgeon for both online and paper authorization requests
  • Allowing the same surgical package authorization request to cover all Professional Types
  • Enhancing the authorization utilization and bill history screen to include Professional Type

CNSI will hold virtual demonstrations from July 11th to July 13th to further explain these updates and processes. Please note that sessions are limited. Registration is available here

You may also contact our Call Center at the number(s) listed below where a Call Center representative will be happy to assist you.

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

OWCP DEEOIC Home Health Authorization Status Updates - 05-24-2022 - 05-24-2022

Effective May 28, 2022, DEEOIC Home Health Requests for authorizations submitted by the provider will be combined into a single Authorization Request number to align to the authorization decisions made by the DEEOIC Program.

Additional improvements include:

  • Providers will be able to submit corrections to approved Home Health request authorizations.
  • Providers will be able to view the line status of an Authorization Request, including the new status of "Processed - Awaiting Decision" when the authorization line is under DEEOIC review. The status will be updated when a decision has been made by DEEOIC.

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 Energy Employees' Occupational Illness Compensation (DEEOIC) 1-866-272-2682
OWCP Updates to Unlisted J-Code Billing for Outpatient UB-04 - 05-19-2022 - 05-19-2022

Effective May 28, 2022, new billing requirements will go into effect for unlisted HCPCS J-codes submitted on Outpatient UB-04 forms for DFEC and DEEOIC programs.

This change affects unlisted J-codes: J3490, J3590, J7999, J8499, J8999 and J9999

New mandatory requirements when billing with for unlisted J codes:

  1. Line must include the appropriate Revenue Center Code (RCC) per the OWCP Fee Schedule. Visit this link for further details.
  2. Line must include a valid National Drug Code (NDC)
    • For paper, include the NDC in box 43 of the UB-04
    • For EDI and web portal Direct Data Entry (DDE), enter the NDC in the applicable field

If any of the required fields are invalid or missing, your bill may be denied.

You may also contact our Call Center at the number(s) listed below, a Call Center representative will be happy to assist you.

  • Division of Energy Employees' Occupational Illness Compensation (DEEOIC) 1-866-272-2682
  • Division of Federal Employees' Compensation (DFEC) 1-844-493-1966