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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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 – BWC Local Level Coded Services
Chapter 2 - CPT Surgical Indicators
This chapter includes information about Centers for Medicare and Medicaid Services (CMS) and CPT codes.
Chapter 3 – 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 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 Provider Update
To notify providers about updates to the Billing and Reimbursement Manual,
BWC issues a newsletter called BWC Provider Update. All BWC-certified providers
should receive a copy of this newsletter.