Provider Bulletin

The Provider Bulletin is an online informative newsletter geared towards our medical providers. We produce the newsletter twice year. If you are not on the e-mail list sign up to receive it.

New Evaluation Codes for Physical Medicine

There are new Evaluation codes for Physical Therapy and Occupational Therapy that became effective 1/1/17: Physical Therapy 97161 – Low complexity 97162 – Moderate complexity 97163 – High complexity 97164 – Reevaluation of physical therapy established plan of care Occupational ...

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Physical Medicine– Active/Passive

The number of Passive therapeutic procedures/modalities allowed when an active therapeutic procedure is billed was changed to 2 effective 7/1/16 for dates of service on or after 7/1/16. The total of 8 units/procedures/modalities did not change (of which only 2 ...

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Rebilling

When rebilling MSF for services, please retain the integrity of the original billing (unless you are sending a corrected claim) if the services have not changed. Send the original billing with any additional information or a reconsideration request and it ...

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Changing Codes

When a code change is required by a provider, please submit a corrected claim form with all services provided for that date of service (even if some have already been paid), Clearly mark the claim as “Corrected”. This will assist ...

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Need Complete ICD-10 Diagnosis Codes

Please be sure a complete ICD-10 diagnosis code is being used when billing Montana State Fund. We are still seeing a number of bills with partial ICD-10 codes.

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The Usual Stuff

Bill Status For bill status please call ACS at 1-888-208-2116. If possible, please allow 30 days before calling as processing may take up to 30 days. Requests for Reconsideration When you are requesting a reconsideration or re-evaluation of a bill ...

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Dennis Barnhart v. Liberty Northwest Insurance Corporation

2016 MTWCC 12; WCC No. 2015-3552 DENNIS BARNHART v. LIBERTY NORTHWEST INSURANCE CORPORATION Summary: Petitioner, who has an extensive history of neck injuries, claimed a work related neck injury in November 2011. Respondent accepted liability and paid benefits.Petitioner and Respondent ...

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Thank You For Supporting Medical Conference

Causation: The Crucial Connection was the theme for MSF’s 16th annual medical conference. The one day event was jointly provided by Montana State Fund and St. Vincent Healthcare in Billings. Nearly 200 medical, legal and claims professionals from across the ...

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5 Year Medical Closure

Section 39-71-704 (1) (f) (i) of the Workers’ Compensation Act provides that medical benefits terminate 60 months from the date of injury or diagnosis of an occupational disease for injuries or occupational diseases occurring on or after July 1, 2011. ...

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Bill Status – 1-877-591-8028

Main Phone Number 406-495-5000 or 800-332-6102

Main Fax  406-495-5020

Medical Team – 406-495-5011

Submit your Claims and/or Correspondence To
Montana State Fund
PO Box 4759
Helena, MT  59604

ACS (Bill Status)
Phone  888-208-2116
Email  MSFBillReviewInquiries@xerox.com

For questions regarding
: Information in this bulletin, call 800-332-6102 and ask for a member of the Medical Team. Advanced Nurse Review, Kym Vonada at 406-495-5389.


Medical Team

Michele Fairclough
Medical Team Leader
406-495-5362

Judy Morgan
Nurse Manager
406-495-5277

Shannon Hadley
Provider Relations Specialist
406-495-5245

Kym Vonada
Medical Auditor
406-495-5389

Annalyn Stewart
Medical Payment Auditor
406-495-5367

Susan Bomar
Medical Payment Auditor
406-495-5271

Cindy Gallus
Medical Customer Service Liaison
406-495-5189

Sherri Sprenger
Medical Customer Service Liaison
406-495-5420

Shannon Mergenthaler
Medical Customer Service Liaison
406-495-5185

Maggie Pentecost
Medical Customer Service Liaison
406-495-5322

Mary McGinley
Medical Customer Service Liaison
406-495-5156

Website Information

Montana State Fund montanastatefund.com

Department of LaborDepartment of Labor and Industry (DLI) website.
The website includes the Facility and Non-Facility Fee Schedule information as well as the Administrative Rules of Montana (ARM) and the instruction set for the Non-Facility Fee Schedule. Historical fee schedule information can also be found on this website.

If you have questions regarding the fee schedules call 406-444-6530 and someone will direct you to a DLI representative. For NPI information click here National Plan and Provider Enumeration System (NPPES)