AMCNO Attends Ohio BWC Spring Stakeholder Meeting

The Ohio Bureau of Workers’ Compensation (BWC) held its Spring Medical Provider Stakeholder meeting in May. AMCNO staff attended the event.

BWC Chief Medical Officer Stephen Woods provided details of the Provider Resource Report, a one-page practice overview that includes comparisons with peer groups of similar providers who treat BWC’s injured workers. These reports allow providers to see the results of services they provide as they partner with the BWC to help injured workers return to work. Detailed definitions of terms used in the report as well as usage guides are available by clicking on the Ohio BWC website here.

John Hanna, Director of the Pharmacy Department, discussed 2015 outcomes for the pharmacy program and 2016 initiatives, including individual physician prescribing reports. These automated report cards began mailing this month and contain prescribing patterns by drug class for the physician’s patients. The reports compare the prescriber’s habits to those among all physicians as well as to specialty physicians.

Another presenter, Chief of Medical Operations Debi Kroninger, provided an update on the Enhanced Care Program (ECP), which has been in place since July 1, 2015. The benefits of the program are improved health outcomes, simplified administrative processes, and increased reimbursement for the physicians who agree to participate in the program. Kroninger outlined which patients and physicians are considered eligible for the program. As of the end of April, 210 physicians had agreed to participate in the program and have enrolled, and 310 injured workers met all program criteria.

Tammie Mihaly, Manager of Provider Relations, gave an update on ICD-10 post-implementation. The BWC had formed a committee to plan for the ICD-10 transition well before the national compliance date, so that they would be ready for it by Oct. 1, 2015. What they recognize and treat is the legal allowance for a claim for workers’ comp, not the ICD code. BWC provided two lists to assist providers: ICDs that are inappropriate for claim allowances, and a most frequently allowed codes list that includes ICD-9 to ICD-10, which may be used. Several issues have surfaced, however, since ICD-10 began a few months ago, relating to the BWC coding customizations and differences. The issues and the resolutions to them, as well as additional information about coding, can be found on the Ohio BWC website by clicking here.

A more detailed article of the meeting will be featured in an upcoming issue of our Northern Ohio Physician magazine. You can also view a video of the meeting in its entirety by clicking here.



The Pollen Line is now closed. See you in the spring!

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