Workers’ Compensation Medical Billing Services
Cure Core Solutions
Streamlined Workers' Comp Billing That Gets You Paid Faster
Workers’ compensation billing can be complex, time-consuming, and full of administrative hurdles. At Cure Core Solutions, we specialize in Workers’ Compensation (WC) billing services designed to maximize reimbursements, minimize denials, and reduce payment delays from employers, insurers, and third-party administrators (TPAs).
What Is Workers’ Compensation Billing?
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Workers’ compensation billing involves submitting medical claims for services provided to employees injured on the job, under their employer’s workers’ compensation insurance policy.
Unlike standard health insurance billing, workers’ comp billing must comply with state-specific regulations, strict documentation, pre-authorization, and fee schedules set by state labor departments or insurance carriers.
Patient Intake & Injury Verification
Confirm injury details, date, employer, and claim number.
Authorization Management
Secure prior authorizations when required by the insurer or TPA.
Medical Coding (ICD-10 + CPT/HCPCS)
Use appropriate codes for work-related injuries and procedures.
Claim Submission to Workers’ Comp Insurer
Submit clean claims electronically or via mail depending on payer rules.
Payment Posting & Follow-Up
Monitor payments, underpayments, and delays.
Appeals & Denial Management
Handle disputes or denials with documentation and state-specific rules.
Workers’ Compensation Billing Workflow
Cure Core Solutions – Workers’ Compensation Billing Experts
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We help hospitals, clinics, urgent care centers, and physician groups reduce the complexities and maximize revenue from workers’ comp cases.
✅ Our Workers’ Comp Billing Services Include:
- Pre-authorization and eligibility verification
- State-specific fee schedule compliance
- Clean claim submission (paper/electronic as required)
- Advanced ICD-10/CPT/HCPCS coding
- Payment tracking and appeals management
Custom reporting and compliance audits
Top 20 CPT Codes in Workers’ Compensation Billing
Office or other outpatient visit – new patient
Office visit – established patient (moderate complexity) |
Office visit – established patient (high complexity
Therapeutic activities, direct contact, 15 min
Therapeutic exercises, each 15 minutes
Manual therapy techniques
Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) |
Trigger point injections, 3 or more muscles
X-ray exam of knee, 1 or 2 views
X-ray of cervical spine
X-ray, shoulder, complete
Ultrasound therapy
Massage therapy |
Range of motion measurement
Work-related or medical disability exam by treating physician |
Work-related or medical disability exam by treating physician
Work-related exam by non-treating physician
Miscellaneous diagnostic or therapeutic services
Frequently Asked Questions
Workers’ comp billing must follow state-specific regulations, use fee schedules, and often requires special authorization, paperwork, and direct submission to insurance carriers or employers.
Yes, in most cases you must obtain prior authorization from the insurance carrier or employer’s third-party administrator (TPA) before treating the patient.
Workers’ comp payments can take 30–90 days or longer depending on documentation, payer responsiveness, and state timelines.
If a claim is denied, we conduct a detailed appeal process with the correct medical records and compliance documentation as per state law.
Absolutely. Our team is well-versed in WC regulations across all 50 states and ensures that your claims are compliant and paid efficiently.