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
Effective December 9, 2023, the DFEC Program for Office of Workers’ Compensation Programs (OWCP) will enhance bill processing to automatically reprocess previously submitted bills that denied when the injured or ill worker’s case was under development, after the case is later accepted as payable by OWCP.
On December 9, 2023, a one-time courtesy bill reprocessing will occur for claimant cases that were adjudicated by DFEC, and accepted conditions assigned in the previous four weeks.
Afterwards, bills denied after December 9, 2023, will be automatically reprocessed if the case is accepted as payable.
Please note that additional denial EOBs may post during reprocessing. For example, if denials post for authorization of services related to accepted conditions, then providers are encouraged to request authorization for the billed service(s).
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 Federal Employees' Compensation (DFEC):
1-844-493-1966
Effective July 15, 2023, the Office of Workers’ Compensation (OWCP) Division of Federal Employees’ Compensation (DFEC) Program is implementing a new utilization review (UR) for hearing aid services and supplies.
Please refer to the FECA Circular NO. 23-08 for more information. FECA Circulars | U.S. Department of Labor (dol.gov)
New limits have been defined for DFEC hearing aid supplies and services.
| EOB Number | EOB Description | Applicable Procedure Codes |
|---|---|---|
| 81021 | BATTERY FOR HEARING DEVICE LIMITED TO 30 UNITS PER 180 DAYS | V5266 |
| 80151 | HEARING AID SERVICES ARE LIMITED TO 1 PER 730 DAYS | V5264, V5265, V5275 |
| 80152 | HEARING AID SERVICES ARE LIMITED TO 1 PER 1825 DAYS | V5010, V5020, V5030, V5040, V5050, V5060, V5070, V5080, V5090, V5100, V5110, V5120, V5130, V5140, V5150, V5160, V5170, V5171, V5172, V5180, V5181, V5190, V5200, V5210, V5211, V5212, V5213, V5214, V5215, V5220, V5221, V5230, V5240, V5241, V5242, V5243, V5244, V5245, V5246, V5247, V5248, V5249, V5250, V5251, V5252, V5253, V5254, V5255, V5256, V5257, V5258, V5259, V5260, V5261, V5262, V5263, V5267, V5268, V5269, V5270, V5271, V5272, V5273, V5281, V5282, V5283, V5284, V5285, V5286, V5287, V5288, V5289, V5290, V5298 |
| 81019 | HEARING AID REPAIR/SUPPLY LIMITED TO 3 UNITS PER 1825 DAYS | V5014 |
| 81061 | HEARING AID FITTING/CHECKING LIMITED TO 4 PER 1825 DAYS | V5011 |
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 Federal Employees' Compensation (DFEC):
1-844-493-1966
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
Effective August 20, 2022, the DFEC program will be implementing new utilization review (UR) for psychological exam and evaluation procedure codes. This change will impact professional, outpatient, and prompt pay bills.
Please refer to the DFEC Bulletin at this link for more information.
You may also 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