Comments on: Workers Compensation – First Aid Claims. What’s that? http://www.clientcare-insurance.com/2008/12/16/workers-compensation-first-aid-claims-whats-that/ Profit from confidence in your worker's comp coverage Wed, 14 Apr 2010 22:43:00 -0700 http://wordpress.org/?v=2.8.4 hourly 1 By: Mike Vrchota http://www.clientcare-insurance.com/2008/12/16/workers-compensation-first-aid-claims-whats-that/comment-page-1/#comment-23 Mike Vrchota Wed, 14 Apr 2010 22:43:00 +0000 http://www.clientcare-insurance.com/?p=467#comment-23 Dear Rita, Thank you for writing. I apologize for not responding sooner. Yes, it seems that many clinics, even those with fee agreements may overbill. All the good insurance companies have bill review departments. Believe me, your insurance company would like to look at your first ald claims first, and once they determine that the claim is indeed First Aid, they would turn the invoice back over to you. But at that time, you could certainly ask the Claims adjuster her/his opinion as to the biling amount. And, yes, you still have the option to let the insurance company pay the claim. But the answer to your final question seems to be that you should just pay the agreed fee schedule amount, and then talk it over with the clinic. You certainly are the customer in this case, and they would hopefully agree to accept the scheduled amount. Wow, what a pain!! Best regards, Mike Vrchota Dear Rita, Thank you for writing. I apologize for not responding sooner. Yes, it seems that many clinics, even those with fee agreements may overbill. All the good insurance companies have bill review departments. Believe me, your insurance company would like to look at your first ald claims first, and once they determine that the claim is indeed First Aid, they would turn the invoice back over to you. But at that time, you could certainly ask the Claims adjuster her/his opinion as to the biling amount. And, yes, you still have the option to let the insurance company pay the claim. But the answer to your final question seems to be that you should just pay the agreed fee schedule amount, and then talk it over with the clinic. You certainly are the customer in this case, and they would hopefully agree to accept the scheduled amount. Wow, what a pain!! Best regards, Mike Vrchota

]]> By: Rita Carey http://www.clientcare-insurance.com/2008/12/16/workers-compensation-first-aid-claims-whats-that/comment-page-1/#comment-22 Rita Carey Thu, 01 Apr 2010 23:18:21 +0000 http://www.clientcare-insurance.com/?p=467#comment-22 I have found that industrial clinics often overbill employers for first aid medical treatment. I've been told several times that if you don't like it send the claim to your workers' compensation insurance carrier. The bills I have received for minor injuries are often billed with the most comprehensive initial visit codes and almost twice as much as the fee schedule allows, as well as all the other fees. What can an employer to about this? I have found that industrial clinics often overbill employers for first aid medical treatment. I’ve been told several times that if you don’t like it send the claim to your workers’ compensation insurance carrier. The bills I have received for minor injuries are often billed with the most comprehensive initial visit codes and almost twice as much as the fee schedule allows, as well as all the other fees. What can an employer to about this?

]]> By: Michael Vrchota - administrator http://www.clientcare-insurance.com/2008/12/16/workers-compensation-first-aid-claims-whats-that/comment-page-1/#comment-16 Michael Vrchota - administrator Tue, 18 Aug 2009 23:08:43 +0000 http://www.clientcare-insurance.com/?p=467#comment-16 Dear Marie, Mike Vrchota here, thank you for writing in. TB would definitely not be first aid. Because TB is a serious, and communicable disease, the manifestation of TB at a workplace would bring in a host of public health and workplace health issues. The presence of TB exposure at a workplace is a very serious issue, and the Workers Compensation Insurance carrier should be promptly notified if TB has been discovered among the employee group at your company. Thank you again. Mike Vrchota Dear Marie, Mike Vrchota here, thank you for writing in. TB would definitely not be first aid. Because TB is a serious, and communicable disease, the manifestation of TB at a workplace would bring in a host of public health and workplace health issues. The presence of TB exposure at a workplace is a very serious issue, and the Workers Compensation Insurance carrier should be promptly notified if TB has been discovered among the employee group at your company.

Thank you again. Mike Vrchota

]]> By: Marie Klymkiw http://www.clientcare-insurance.com/2008/12/16/workers-compensation-first-aid-claims-whats-that/comment-page-1/#comment-15 Marie Klymkiw Tue, 18 Aug 2009 17:12:53 +0000 http://www.clientcare-insurance.com/?p=467#comment-15 Are TB exposures considered first aid? Are TB exposures considered first aid?

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