Are you missing out on billing when providing WCB services?

In general, when submitting claims to WCB for work related illness/injury, physicians follow the same rules that apply to Alberta Health billing. 

However, WCB-related services may be “unbundled," which means that:

  • Visits are payable in addition to the procedure regardless of diagnostic code or service location.
  • All services provided at the same encounter are payable at 100%.
  • No inclusive care periods for procedures – (all pre and post procedure visits are payable including suture removal which is claimed as a visit).
  • Tray services are billed separately.
  • Business Cost Program services are billed separately:
    • 1 unit for every visit service (03.03A CMGP03 = 4 calls of BCP01/02).
    • BCP01: Locations other than Calgary, Airdrie or DeWinton.
    • BCP02: Calgary, Airdrie and DeWinton.

The AMA advances patient-centered, quality care by advocating for and supporting physician leadership and wellness.