California Workers' Compensation

At A&E Billing Solutions, we have several years of experience in processing claims for workers’ compensation patients. We understand what a hassle it can be! We don’t let the red tape stop us from collecting the payment that is rightly due to you for your services. We effectively contact claims adjustors and review companies to resolve payment issues in a timely manner. We have several years of experience in collecting payment for workers’ compensation claims, and can often generate payment in 3-4 weeks! We immediately appeal for any underpaid claims and we will make sure each one of those claims is resolved appropriately.

We specialize in appeals for:

• Surgical claims, including items that have been discounted or bundled inappropriately
• Report payments, including consultation, PR2, and PR3 reports
• Consultation services
• Downcoded services, including E & M services
• Office procedures, including DME items, x-rays, and injections

We are very familiar with the California OMFS and its regulations. We keep abreast of changes in legislation and payment guidelines. In addition, we often report inappropriate payment practices to the Workers’ Compensation Appeal Unit for documentation of unprofessional, illegal, and immoral actions taken by insurance carriers and review companies.

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