Transition Marked by Fast Turnaround Times and More.
Hints for taking advantage of the new improvements.
Here at Montana State Fund, one way to describe the many services we offer providers may be “in transition.“ Certainly, “improving” describes them as well. As always, we appreciate your patience, understanding and feedback while we make our services the best they can be.
The Transition to CorVel. Last year, MSF contracted with CorVel Corporation to improve the medical bill payment processing function. The transition began in March 2006, and while we have experienced a few minor issues, the process is running smoothly. Improvements you’ll be noticing include faster turnaround times, Explanation of Review (EOR) with payment, one payment-per-injured-worker and an end to automatic overpayment recovery from other claims.
CorVel continues to process provider medical bills for services to our injured workers in accordance with the Administrative Rules of Montana set by the Department of Labor and Industry and MSF’s business rules and policies.
One of the services CorVel brings to MSF is Advanced Nurse Review. Current Procedural Terminology (CPT) guidelines, Correct Coding Initiative (CCI) and American Academy of Orthopedic Surgeons (AAOS) edits are standards utilized for review of bills with multiple procedures and/or services in addition to the audit of inpatient/outpatient hospital based care. A review may also be requested by a claims examiner. CorVel offers expertise and experience in utilization and review of medical services, and must conduct the review pursuant to Administrative Rules of Montana 24.29.1526, which stipulates that only reasonable and necessary medical expenses related to the compensable injury are payable.
Completing Forms Accurately. CorVel will return unprocessed documents to MSF if they are missing critical information. This chart will help you avoid a return when billing on a CMS-1500 form.