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.
