WORKERS COMP DAY 1 Billing

WORKERS COMP "DAY 1" BILLING

ACE manages all steps in the process of a Workers Comp Claim from the First Report of Injury through payment. While claim submission for Workers Comp continues to be a manual and laborious process, our clients have experienced 90% of payments within 90 days of claim submission utilizing our "Day 1" Billing.

Compared to other insurance companies, Workers Comp is proven to be the most confusing for patients and providers.

ACE has 25 years of experience establishing a proprietary method of billing Workers Comp Claims.

ACE was the first medical billing entity to manage a Day 1 Billing for providers in Ohio. We offer our 25 years of experience to you at a low contingency fee.

What we do...

We manage the complications of Workers Comp Billing as follows:

Transmit FROI to BWC and initiate claims.
Monitor BWC claim allowances.
Determine correct payer.
Make necessary corrections to initially bill claim.
Contact patient as necessary
Follow-Up on denials
Contact physicians as necessary
Manage prior authorization.
Obtain retro authorization.
Monitor hearings and contact attorneys.
Monitor and assist with credentialling.
Monitor and assist with BWC certification.
Report payment discrepancies to client.
Monthly performance and reporting
Inform client of any trends that can adversely affect revenue.

Frequently Asked Questions

What does "DAY 1" mean?

DAY 1 means exactly that. On the first day the patient completes a First Report of Injury (FROI) for a work-related injury, that FROI is sent directly to ACE. We manage every step from the first day until the claim is paid.

Will ACE manage the medical documentation requests from BWC?

Absolutely! ACE knows exactly what the MCO's and Self-Insured payers require for allowance of the claim and expeditious payment processing of the claim.

Will ACE manage authorization issues?

Yes! ACE communicates directly with physician offices to resolve and prevent any authorization issues.

Will my payments go directly to me?

Yes. All insurance payments will be paid directly to you. ACE will submit an invoice for a contingency fee based on payments made to you.

What results can I expect to see?

90% of claims are paid in the first 90 days of assignment to ACE.