Provider Connection

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

COVID-19 Coverage

With the COVID-19 pandemic being prevalent at this time, Montana State Fund (MSF) has released  recommendations for clinics who are providing telephonic or virtual services to our injured workers during this crisis: We thank you for being flexible during this ...

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ECHO Update

ECHO has been processing provider payments for Rising Medical Solutions on behalf of MSF for the past year. Payments automatically default and are made via Virtual Card.  For providers who are unable to accept payments via Virtual Card or prefer ...

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Department of Labor & Industery (DLI) Fee Schedule Update 2020

The Montana Department of Labor & Industry (DLI) has published the new Proposed amendments to the Professional and Facility fee schedules.  Hearing information can be found on the DLI website at http://dli.mt.gov/events/calendar.asp.  Highlights of changes are: Base Rates for Facility: ...

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Highlighting, Time Codes and Submitting Medical Records

Highlighting Reminder – Please do not use a highlighter to draw attention to information that needs to be considered.  It does not scan well and may actually black out the information intended to be noticed.  Use a “star” method or ...

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Save the Date – 2021 Medical Conference

We are excited to announce that our 2021 medical conference will be held in the Fall of 2021 in Whitefish, MT at the Lodge at Whitefish Lake. This will be the first time we have hosted a medical conference outside ...

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2020 MTWCC 4 WCC No. 2017-4143 MICHAEL NEISINGER Petitioner vs. NEW HAMPSHIRE INS. CO. Respondent/Insurer

  FINDINGS OF FACT, CONCLUSIONS OF LAW, AND JUDGMENT Summary: Petitioner suffered a compensable left-leg injury and had surgery to repair his torn quadriceps. Thereafter, Petitioner developed severe low-back pain, with pain radiating into his hips and legs. Petitioner contends ...

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Medical Management Responsibilities of the Treating Physician/PCP Role

The designated treating physician is responsible for the coordination and management of all medical care for the injured employee.  Once the provider is designated  the Primary Care Provider (PCP), she/he will be paid 110% of fee schedule and all other ...

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Rising Medical Solutions/ECHO/Crefuns

It has been nine months since Rising Medical Solutions (RMS) started reviewing and processing bills for Montana State Fund (MSF).  While we are off to a good start, the following are some of the most common calls we are fielding ...

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IME News – Catherine Heffernan vs. Safety National Casualty Corp.

Summary: Claimant appeals an Amended Order Directing Medical Examination, in which the DLI ordered her to attend a panel IME. Claimant argues that the DLI erred because: (1) it declined her request to allow her to make an audio recording ...

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Evaluation and Management – Time

When using time to support a level of service under Evaluation and Management, total time spent face to face with the patient must be documented along with documentation of what was included in the counseling and/or coordination of care.  Simply ...

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Bill Status – 1-866-274-7464

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

RMS (Bill Status)
Phone  866-274-7464
Email customer.care@risingms.com

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


Medical Team

Michele Fairclough
Medical Team Leader
406-495-5362

Justin Kennedy
Nurse Manager
406-495-5417

Shannon Hadley
Provider Relations Specialist
406-495-5245

Kym Vonada
Medical Auditor
406-495-5389

Annalyn Stewart
Medical Payment Auditor
406-495-5367

Sheryl Semans
Pharmacy Liaison
406-495-5010

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

Jamie Statton
Medical Customer Service Liaison
406-495-5386

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)