Specialties/Workers’ Compensation
Workers’ Compensation
medical billing
A different payer, a different fee schedule, and paperwork that gates payment.
Where it leaks
Why this specialty
loses money.
Workers’ compensation is not health insurance and does not behave like it. Each state sets its own fee schedule, claims attach to an employer and an adjuster rather than a plan, and payment is frequently held not because the care is disputed but because a required form is missing.
What makes it different
- State fee schedules instead of payer contracts
- Claim, employer and adjuster details verified up front
- Required state forms filed with, or before, the claim
- Authorisation obtained through the adjuster
How it is covered
The same eight disciplines,
tuned to this specialty.
Workers’ Compensation billing is not a separate service — it is the same revenue cycle, with the rules that matter here applied at each stage. The assessment reviews all eight against your own data.
Revenue assessment
How is workers’ compensation
billing performing for you?
A revenue assessment reviews all eight disciplines end to end and shows you where the reimbursement is going.