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
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
OWCP-CNSI will host Virtual Help Session on Friday May 5th from 2:30-3:30 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.
OWCP-CNSI will host Virtual Help Session on Friday April 14th from 11 am to 1 pm ET.
Providers will have an opportunity to join the call to ask general questions regarding the medical bill processing system including enrollment, authorization submission, billing, and web portal features. Providers will be able to gain insight on helpful information, available tools and to request further assistance.
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.
Ambulatory Surgical Centers should bill for facility charges on the OWCP-1500 using the appropriate AMA CPT® code(s) for the primary, secondary, tertiary, etc. procedures and should use the "SG" modifier with each CPT® code.
Effective October 1, 2022, Outpatient UB-04 billed lines submitted with both the Revenue Center Code (RCC) and a CPT/HCPCS/OWCP procedure code will be priced based on the procedure code fee schedule. This pricing update will apply to bills submitted for DFEC, DEEOIC, and DCMWC.
Please note that there will be no changes for RCC pricing for lines billed without a procedure code.
In addition, this pricing update will not affect the RCC Codes requiring CPT/HCPCS/OWCP Codes for Outpatient Hospital Services, per the OWCP Fee Schedule.
It also will not affect Outpatient Bills (13x or 14x) that are priced via OPPS for DFEC and DEEOIC Programs, or implant lines billed with RCC 0274 – 0279 that require a manufacturer’s invoice for reimbursement (DFEC program only).
Please click this link to visit the OWCP Fee Schedule page for more information.
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 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