Some physicians report significant delays or denial of payment for their Initial Expedited Comprehensive Consultations (19911). According to recent data from WorkSafeBC, a top reason for this is missing or illegible consult reports.
When your 19911 is submitted to WorkSafeBC, the system automatically searches for proof of a consult report. If the system is unable to find such a report, the 19911 is reviewed manually by WorkSafeBC, which may result in payment delays. If WorkSafeBC is unable to find the appropriate consult report, it may result in a payment rejection.
The Initial Expedited Comprehensive Consultation (19911) fee may be billed when:
The Initial Expedited Comprehensive Consultation report must be received by WorkSafeBC within 15 business days from the referral.
Details on billing Initial Expedited Comprehensive Consultations can be found in the Physicians and Surgeons’ WorkSafeBC Services Reference Guide at www.worksafebc.com/en/health-care-providers/provider-types/physicians [12].
Please note that physicians with a Royal College specialty, apart from anesthesiologists, should bill fee code 19911. Anesthesiologists should use fee code 19934 for the initial expedited consult, and family physicians with areas of expertise (e.g., sports medicine, diving medicine, addictions medicine, family practice anesthesia) should use fee code 19945.
If you have any questions, contact Doctors of BC at worksafebc@doctorsofbc.ca [13].
—Patrick Wong
Quality Assurance Supervisor, WorkSafeBC
—Dana Chmelnitsky
Program Manager, WorkSafeBC
—Farnaz Ferdowsi
Senior Analyst, Doctors of BC
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This article is the opinion of WorkSafeBC and has not been peer reviewed by the BCMJ Editorial Board.
[14] |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License [14]. |
Links
[1] https://bcmj.org/cover/julyaugust-2022
[2] https://bcmj.org/author/patrick-wong
[3] https://bcmj.org/author/dana-chmelnitsky-mba-bmrpt
[4] https://bcmj.org/author/farnaz-ferdowsi
[5] https://bcmj.org/node/9191
[6] https://bcmj.org/sites/default/files/BCMJ_Vol64_No6-workSafeBC.pdf
[7] https://bcmj.org/print/worksafebc/tips-billing-initial-expedited-comprehensive-consultations-19911
[8] https://bcmj.org/printmail/worksafebc/tips-billing-initial-expedited-comprehensive-consultations-19911
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[11] https://bcmj.org/javascript%3A%3B
[12] http://www.worksafebc.com/en/health-care-providers/provider-types/physicians
[13] http://worksafebc@doctorsofbc.ca
[14] http://creativecommons.org/licenses/by-nc-nd/4.0/
[15] https://bcmj.org/modal_forms/nojs/webform/176
[16] https://bcmj.org/%3Finline%3Dtrue%23citationpop