Workers Compensation Doctors

Workers Compensation Credentialing for Doctors

Workers Compensation Credentialing

What is Workman's Comp Contracting and Credentialing?

Workers’ Compensation Contracting—or Workmans' Comp Credentialing—for Doctors is the process of contracting a medical practice with a Workers' Compensation payer for the purpose of increasing patient referrals to that practice. Depending on the state, Doctors are often required to be contracted with a specific carrier, network, or panel in order to receive referrals from Workman's Comp payers.

Having an agreement also helps to ensure the fee schedule is agreed upon in advance, while also clarifying other understandings between the doctor's office and the insurance carrier.

Why Work Comp Credentialing 
for your Practice?

1. Increase your number of Workman's Compensation Patient Referrals

In managed-care states, insurance companies and employers will only refer injured workers to your practice if you are credentialed with them or a designated network or panel. 

2. Ensure you're listed correctly

Even if you are already listed on most networks and panels, it is important to check that you are listed correctly. Provider lists often have multiple tags and search terms, so you need to ensure that your listing is optimized and that you are showing up for all possible terms. A good example is 'PM&R' where the doctor may be listed under 'physiatry', 'PM&R', or even 'interventional pain management'.

Additionally, with all the recent mergers in the sector, even basic information such as phone numbers and email addresses should be checked. This is even more important if you have changed any of your details in recent years.

3. Renegotiate for Higher Rates

Not happy with your current reimbursement for treating work-related injuries? No problem—in many states it is possible to renegotiate this with the network, TPA, or insurance carrier.

4. Contract with Independent Medical Evaluation (IME) Panels

In addition to credentialing your practice with networks, you can also contract individual physicians with IME panels. While the reimbursement for IMEs varies considerably, many panels allow you to set your own rate. However, of course, setting a very high rate will reduce the chances of IME referrals.

Workers' Compensation Contracting FAQs

Is there a list of all the Workman's Comp Carriers & Networks?

Yes, there is a list of Workers' Compensation Networks, although it varies slightly between states. To obtain this list, please Contact Us.

What is the Workers' Compensation Fee Schedule?

Many states have their own Workers' Compensation Fee Schedule. This essentially dictates the rates that doctors and medical providers can be reimbursed for the treatment and evaluation of injured workers. The fee schedules list the rates according to ICD codes. 

Interested in obtaining the fee schedule for your state? Contact us.

Can I contract the practice? Or does each Doctor need to be contracted separately?

Many workman's comp networks allow you to contract the entire practice rather than just a single physician. A key advantage of this is that, even if a certain physician leaves your practice, you as the practice owner remain in control of the workers' comp contracts.

Do PAs need to be credentialed? Or just Doctors?

This varies from network to network. Some require you to credential both Doctors and PAs, while others only require the Doctors to be credentialed.

How to contract Doctors with Independent Medical Examinations (IME) Panels?

There are many Independent Medical Examination (IMEs) Panels. These panels are often independent entities that specialize in offering IMEs, although some insurance carriers also have their own 'in-house' IME lists. Credentialing doctors with IME panels greatly increases the chances of receiving IME referrals. Most IME panels have their own online credentialing forms. If you would like help adding a Doctor to all the IME panels in your state, please Contact Us.

What is CAQH and how can it help with Work Comp Contracting?

CAQH—or the Council for Affordable Health Care—is a non-profit alliance of healthplans with the goal of simplifying the process of physician credentialing. Put simply, it provides a shared online location for physicians to share their information, rather than having to enter it multiple times in credentialing paperwork. Read more about CAQH.

The insurance adjuster is not permitting me to prescribe pharmacy, DME, or other medically necessary treatment. Can I get this added to the contract?

It is not uncommon for insurance carriers and TPAs to place restrictions on the ancillary services that doctors can offer their patients. Examples of ancillary services are medications, Durable Medical Equipment, and Medical Devices. These restrictions may sometimes be mentioned in the agreement you sign with them so be sure to read the contract thoroughly before signing.

What clients say about our work

  • "Workers-Compensation-Doctors.com greatly increased our work comp volume by connecting us to adjusters and nurse case managers who handle cases in our state. They also handled all the contracting side of things"
    Tera W.
    NeuLife Rehab
  • "What a great niche service! Within a few months, I was contracted with all the major MPN networks, plus introduced to the adjusters and TPAs choosing doctors from these networks."
    G. Wexler M.D
    Orthopedic Surgeon

How much does Workers' Compensation Credentialing cost?

Workers-Compensation-Doctors.com is one of the most affordable providers of workman's comp credentialing for doctors and medical practices. Credentialing is included as part of our Workers' Compensation Marketing Service, but it can also be offered as a stand-alone service.

SEE OUR PLANS & PRICING
Dr. Richard Girling
CEO & Founder

Need more info? Contact Us!

Are you ready to start increasing your number of work comp patients? Our CEO & Founder, Richard, can answer all of your questions on Work Comp Marketing.

SCHEDULE A CALL TODAY

Copyright Workers Compensation Doctors © 2023.
All Rights Reserved. Privacy Policy

Online Marketing for Doctors and SEO for Doctors by RedCastleServices.com
linkedin facebook pinterest youtube rss twitter instagram facebook-blank rss-blank linkedin-blank pinterest youtube twitter instagram