WCMBP Outage
The WCMBP System will be unavailable for maintenance on 06/02/2024 between 09:00 AM to 07:30 PM EST. We appreciate your patience while this activity occurs.
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OWCP Utilization Review Edits for Services on the Same Day
On January 11, 2025, the Office of Workers’ Compensation Programs (OWCP) will implement new utilization review edits to limit billing for services performed on the same date of service.
This utilization review will apply to three OWCP Programs: DCMWC, DEEOIC, and DFEC.
The EOB descriptions for each edit will appear on the remittance voucher (RV) with the following verbiage:
Coverage/program guidelines were exceeded: Exceeds number/frequency approved/allowed within the time period.
New limits have been defined for the following services:
| EOB Number | Applicable Procedure Codes | Utilization Review |
|---|---|---|
| 80432 | 98970, 98971, 98972 | Assessment is allowed once per day, per same servicing provider NPI |
| 80434 | 99441, 99442, 99443 | Telephone evaluation is allowed once per day, per same servicing provider NPI |
| 80435 | 99374, 99375 | Home health agency service is allowed once per day, per same servicing provider NPI |
| 80436 | 99377, 99378 | Hospice service is allowed once per day, per same servicing provider NPI |
| 80437 | 99379, 99380 | Nursing facility is allowed once per day, per same servicing provider NPI |
| 80438 | 98966, 98967, 98968 | Telephone assessment is allowed once per day, per same servicing provider NPI |
| 80439 | 99421, 99422, 99423 | Online digital evaluation is allowed once per day, per same servicing provider NPI |
| 80440 | 99446, 99447, 99448, 99449 | Interprofessional EHR assessment is allowed once per day, per same servicing provider NPI |
| 80441 | 99231, 99232, 99233 | Subsequent hospital inpatient or observation care service is allowed once per day, per same servicing provider NPI |
| 80442 | 99234, 99235, 99236 | Hospital inpatient or observation care service is allowed once per day, per same servicing provider NPI |
For questions, contact our Call Center at the applicable phone number listed below, where a 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 update for OWCP-1500 Bill Attestation
Effective November 16, 2024, OWCP providers submitting bills online will be required to acknowledge an attestation statement for each professional bill Please select this link for further information.
OWCP update for OWCP-1500 Bill Attestation
Effective November 16, 2024, OWCP providers submitting bills online are required to acknowledge an attestation statement for each professional bill.
After entering your bill through the WCMBP portal and selecting the Submit Bill button, a checkbox will appear with corresponding language in the Submitted Professional Bill Details alert window. Providers must review and select the checkbox to acknowledge the attestation statement before submitting the professional bill. This acknowledgement is required only for professional bills at this time.
If you do not see the alert window after selecting the Submit Bill button, be sure to allow pop-ups on your internet browser for the WCMBP portal https://owcpmed.dol.gov/, then go to the Retrieve Saved Bills option on the portal menu to access your bill.
For questions, contact our Call Center at the applicable phone number listed below, where a 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