All BWC-certified providers should have a copy of BWC's Billing and Reimbursement Manual. The manual explains the billing procedures for medical providers, who are treating injured workers under the Health Partnership Program.
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Table of Contents
Chapter 1 – Ohio Bureau of Workers' Compensation System
This chapter includes information about employer types; managed care organization roles/responsibilities; provider eligibility; reporting an injury; guidelines for treatment, coding and reimbursement; and other
BWC processes and procedures.
Presumptive approval guidelines
MCO standard prior authorization table
Medical documentation policy
Chapter 2 - Services
This chapter includes information about practitioners, hospitals, ambulatory surgical centers, outpatient medication, vocational rehabilitation, home health agencies, nursing homes and other BWC-certified provider services.
Chapter 3 – Vocational Rehabilitation Services
This chapter includes information about vocational rehabilitation services.
Chapter 4 – Billing Instructions
This chapter includes information about billing rules and laws, instructions for completing BWC billing forms and a guide for explanation of benefits.
Outpatient Medication Invoice (C-17)
Service Invoice (C-19)
BWC will periodically issue policy alerts to provide further clarification
on specific policies. To download the latest policy alerts, click here.