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    PROVIDER CONNECTION

    Register for the 2022 Medical Conference

    Register now for our 20th Annual Medical Conference. The theme is Harnessing the Future of Workers’ Compensation. It takes place at the Delta Hotel in Helena, May 19-20, 2022. This conference is valuable for Physicians, Physicians Assistants, Nurses, Physical Therapists, Medical Case Managers, Vocational Rehabilitation Consultants, Claims Examiners and Attorneys. Continuing education credits are pending approval. Agenda…

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    New Evaluation and Management Documentation Struggles

    We’re in a full year now on the new documentation guidelines for Evaluation and Management Services.  It has been a learning experience and most of us are getting it figured out.  The biggest issue MSF is seeing is due to the changes in the way time is used to determine the level of service.  The…

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    Incomplete ICD-10 Diagnosis Codes

    We are still seeing a number of billing forms where the ICD-10 diagnosis codes are incomplete.  Placeholder and the sequence are the most common missing characters.  Please ensure the codes are complete to prevent denials.

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    Re-evaluation/Reconsideration Requests

    When submitting a request for re-evaluation or reconsideration, attach a copy of the EOR with your submission. Please indicate on the billing form that it is a reconsideration request along with any additional records needed for review. 

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    Highlight with Pen

    Please use a black or blue ink pen and circle or star * any information you would like to draw attention. If a highlighter is used, the information does not scan well and it is often too dark to read what is under it.

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    JACOB LORENZEN Petitioner vs. EMPLOYERS PREFERRED INSURANCE COMPANY Respondent/Insurer.

    Summary: Petitioner seeks additional benefits, asserting that his industrial accident permanently aggravated his preexisting conditions, including his chronic pain, cervical spine condition; lumbar spine condition; and right foot condition. Petitioner also asserts that his industrial accident caused a brain injury, resulting in headaches and tinnitus.Held: Respondent is not liable for additional benefits. Respondent is liable…

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