Course Highlights

The Division of Workers' Compensation has adopted new regulations for standardized paper billing forms and electronic billing standards. California will now be one of the first states in the country to provide for ebilling in workers' compensation,

These regulations encourage both workers' comp insurers and medical providers to transition to e-billing. The new regulations will also streamline paper billing by standardizing billing forms and will make it easier to communicate through the use of standardized bill review messages.

By statute, claims administrators are required to accept electronic bills and may develop their own capacity to accept electronic bills or may contract with a vendor to perform the function. Participation in electronic billing is optional for medical providers.

Provisions relating to paper billing become effective on Oct. 15, 2011 and provisions relating to electronic billing become effective Oct. 18, 2012.

This comprehensive seminar will provide important information to help claims administrators, medical providers, and other professionals implement this new law.

Instructor

Suzanne Honor-Vangerov was the Manager of the DWC Medical Unit where she oversaw the Qualified Medical Evaluator, Spinal Surgery Second Opinion, Medical Provider Network, and Utilization Review programs. As Manager she was involved in the drafting process of the new E-Billing regulations. She is considered to be an expert in medical billing and fee schedule issues. She has served as a speaker for the annual DWC Educational Conference, has been an instructor with the Insurance Education Association (IEA), and for a variety of other organizations. She is now an attorney at law in private practice engaged in workers' compensation defense.

Pharmacy compounding is the art and science of preparing personalized medications for patients. Compounded medications are made based on a practitioners prescription in which individual ingredients are mixed together in the exact strength and dosage form required by the patient.

In 2012 the DWC adopted new regulations that govern how lien claims are processed.

  1. § 10582.5 Dismissal due to lack of prosecution
  2. § 10770 Filing Requirements
  3. § 10770.1 Lien Conferences and Trials

This short course given by Sue Honor will explain how they work.

Sue Honor-Vangerov, Esq. formerly Medical Unit manager for the California Division of Worker's Compensation, is a recognized subject matter expert in California medical billing, fee schedule and lien matters.