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WorkSafeBC

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Chiropractor billing and reporting

Billing
Reporting

Billing

WorkSafeBC encourages chiropractors to submit their WorkSafeBC invoices and reports electronically through MSP Teleplan. Regardless of the method you use to bill WorkSafeBC, the Reference Guide for Chiropractic Services (PDF 378kb) is a useful resource for chiropractors and their office assistants.

Invoices must be received within seven calendar days of service to facilitate the timely notification of disallowed or suspended claims, or concurrent treatment. Invoices submitted more than 90 calendar days after the date of last service may not be paid.

Billing electronically

To submit invoices via Teleplan, you need clinic-invoicing software compatible with Teleplan. For more information, contact your medical software vendor. Alternately, you can submit invoices through an invoicing service bureau, like the BCCA Service Bureau, which takes a paper invoice and electronically submits it through Teleplan. Contact the BCCA by fax (604 278-0093) or email (info@bcchiro.com) for WorkSafeBC billing information.

Paper billing

If you are not set up to submit invoices and forms electronically, online copies of the WorkSafeBC Invoice for Treatment Services (267) (PDF 70kb) can be printed or ordered through WorkSafeBC's Forms Distribution. For more information on how and where to submit invoices and reports, please refer to contact details. Effective June 2, 2008, only invoices submitted electronically will be payable. Chiropractors without the capability to submit information electronically through MSP may be able to use invoicing service bureaus, including the BCCA Service Bureau.

Using practitioner numbers

MSP uses practitioner numbers to identify chiropractors. The payment system requires both a practitioner number and facility payee number (where applicable) to process invoices. An MSP practitioner number is also recognized as a valid payee number however, both practitioner and payee fields must be completed when submitting electronic or paper invoices to WorkSafeBC.

Fee items

To bill WorkSafeBC for your services, include only those fee items (PDF 44kb) outlined in Schedules A & B of the Agreement.

Patients not initially treated as WorkSafeBC clients

When a worker is not initially treated as a WorkSafeBC client but a compensation claim is subsequently accepted under the Workers Compensation Act, the treating chiropractor must fully reimburse the worker and invoice WorkSafeBC directly. A chiropractor may not charge any additional fees to an injured worker for treatment to the injured area accepted on the claim under the Act.

Treatment of Areas not Accepted on the WorkSafeBC Claim

Workers who attend for work-related injuries may elect to have treatment to areas other than the accepted injured area on the WorkSafeBC claim. The chiropractor may charge a fee where treatment is provided to areas other than to the accepted area of injury on a claim. Prior to treatment, the worker must acknowledge his/her understanding that the fee for treatment to areas not accepted on the claim is his/her responsibility and will not be reimbursed by WorkSafeBC.

Rejected billings

If there is a problem with an invoice, you will be notified and an explanatory code(s) (PDF 84kb) will indicate the reason. For billing queries, call 604 276-3085 or toll-free 1 888 422-2228.

Invoice codes

WorkSafeBC has adopted a subset of the Canadian Standard Association (CSA) injury codes. This is a key element for case management and early intervention. Please use these codes to complete Forms 8C/11C.

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Reporting

WorkSafeBC encourages chiropractors to submit reports electronically to WorkSafeBC through MSP Teleplan.

There are two treatment report forms that chiropractors submit to WorkSafeBC, depending on the duration of chiropractic treatment:

There is also an X-ray report form that chiropractors may use from time to time:

Form 8C/11C is one document. Indicate at the top of the form, which form you are submitting. If you require additional space for reporting clinical information use the Practitioner's Addendum (PDF 55kb).

Additionally, the Reference Guide for Chiropractor Services (PDF 378kb) contains useful information on how and when to complete chiropractic reports for WorkSafeBC.

Reporting electronically

WorkSafeBC offers chiropractors the option of submitting reports electronically to WorkSafeBC through MSP Teleplan. To submit reports via Teleplan, you need clinic-invoicing software that is compatible with Teleplan. For more information, contact your medical software vendor. Alternately, you can submit reports through an invoicing service bureau that takes your paper report and submits it electronically through Teleplan.

Participation in the use of the electronic reporting system is voluntary. WorkSafeBC will reimburse chiropractors for the electronic submission of reports as outlined in Schedules A & B of the current agreement.

Paper reporting

If you are not set up to submit report forms electronically, online copies of Form 8C/11C can printed, or ordered through WorkSafeBC's Forms Distribution. For more information on how and where to submit invoices and reports, please refer to the contact details. Effective June 2, 2008, only reports submitted electronically will be payable. Contact the BCCA by fax (604 278-0093) or email (info@bcchiro.com) for WorkSafeBC billing information.

Chiropractor's first report (Form 8C)

Following the first office visit, the Chiropractor's First Report (Form 8C) must be submitted to WorkSafeBC. The Initial Visit, Fee Item 19130 will be reimbursed one time only per injured worker claim.

Chiropractic treatment beyond four weeks report (Form 11C)

In cases where chiropractic treatment is expected to go beyond the fourth week of treatment, a Form 11C must be submitted to WorkSafeBC prior to the end of the fourth week. No payment for chiropractic treatment beyond four weeks will be processed until a Form 11C is received, including a plan for clinical recovery and a return to work plan or recommendations for further investigation or treatment.

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