Any Specialty, Any City
We work in all areas of the workers compensation medical profession throughout the state of California.
Medical Billing
Work Comp Medical Services provides all Workers’ Compensation Billing, or other Forensic Billing, copying, mailing of reports & claims with proof of service to all parties including attorneys, insurance carriers and other treating physicians. Telephonic and fax collection efforts are included in this billing service. Second Bill Review (claims appeal) is also included. We specialize in QME and AME billing.
Collections
Includes: Independent Bill Review filing, lien filing, timely response to objections, filing of Petitions for Benefits, filing of Declaration of Readiness, lien hearing representation at the Workers’ Compensation Appeals Board (WCAB).
Account Management
Includes all billing services (workers compensation, forensic, etc) plus referral screening, obtaining Utilization Review (UR) and adjuster authorizations, checking Medical Provider Network (MPN), appointment notification letters to patient and all referring and legal parties with request for records prior to appointment and report proof reading and editing.
For QME and AME scheduling and billing, our office prepares the QME 110 form up front and checks to make sure appropriate rules and regulations have been followed before scheduling. Our office also provides the physician with all the appropriate EAMS forms for the appointment, including the DEU 100, DEU 101, QME 111, QME 120 or QME 121 forms. We guide new physicians through the process to ensure proper payment for these extensive evaluations.
Full QME Management Services
- QME License Fees
- QME locations (office rentals)
- Marketing
- Intake and Scheduling
- Questionnaires / history
- Receive and prepare Medical records Summary
- Create draft report with history
- Medical Assistance if needed
- Diagnostic test referral and coordination
- Transcription
- Final report review and personal consultation
- Billing
- Collection
- Banking
Work Comp Medical Services, Inc utilizes EDEX/ Compdata