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Resources now available for CMS-1500 webinar for providers

by New York State Workers' Compensation Board | Jan 22, 2025 | Insurance Updates, Workers' Compensation

Thank you to those who attended our recent CMS-1500 webinar for health care providers, highlighting that, beginning August 1, 2025, the Board will require health care providers to contract with an electronic submission partner to submit...

NYS WCB OnBoard Limited Release Update

by Insurance Committee | Oct 3, 2021 | Insurance Updates, Members Only, Workers' Compensation

Recap:  This first phase, OnBoard Limited Release, will allow providers to easily submit Prior Authorization Requests (PAR) for care, as well as a Request for Decision on Unpaid Medical Bill(s) (Form HP-1.0).   Once implemented, carriers must respond to...

Providing DME Under New York State Workers’ Compensation

by Insurance Committee | Apr 22, 2021 | Insurance Updates, Members Only, Workers' Compensation

(Statement from Elite Medical Supply of NY) Elite Medical Supply of New York has requested that the NYSCA provide the following statement to our members: In early February 2020, the New York State Chiropractic Association graciously forwarded my statement to its...

Providing DME Under New York State Workers’ Compensation (Update)

by Insurance Committee | Apr 22, 2021 | Insurance Updates, Members Only, Workers' Compensation

Last year (2020), the New York State Chiropractic Association (NYSCA) learned that the NYS Workers Compensation Board (NYS WCB) had initiated inquiries with a few providers authorized to treat injured workers who had signed private agreements with one or more durable...

Can a network administrator deny reimbursement for chiropractic care provided under state Workers’ Compensation Law?

by Staff Writer | Nov 4, 2020 | Insurance Updates, Members Only, Q&A, Workers' Compensation

Q: Can chiropractic care be denied reimbursement under New York State Compensation Law for treatment tendered to an injured worker following the state workers’ compensation medical treatment guidelines simply because the DC provider is out-of-network. A member states:...

New Workers’ Compensation DME Rules and Fee Schedule

by Insurance Committee | Oct 25, 2020 | Insurance Updates, Members Only, No-Fault, Workers' Compensation

NYSCA has previously communicated that the revised January 1, 2020 New York Workers’ Compensation Fee Schedule included reference to an updated Durable Medical Equipment (DME) Fee Schedule. Just last month the Workers’ Compensation Board (WCB) released...
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