{"result":"success","metaData":{"4":{"id":4,"heading":"What is the mailing address of the Commission?","content":"The mailing address of the Commission is:

The Mississippi Workers' Compensation Commission
P.O. Box 5300
Jackson, MS 39296-5300","extraContent":null,"urlPath":"","faqCategory":"general","sortOrder":0,"isActive":false},"199":{"id":199,"heading":"What is the physical address of the Commission?","content":"The Commission is located at:

301 N Lamar St.
Jackson, Mississippi 39201","extraContent":null,"urlPath":"","faqCategory":"general","sortOrder":0,"isActive":true},"262":{"id":262,"heading":"Who is the Executive Director Staff?","content":"","extraContent":null,"urlPath":"","faqCategory":"executiveDirector","sortOrder":0,"isActive":true},"1":{"id":1,"heading":"What is the physical address of the Commission?","content":"The Commission is located at:

301 N Lamar St
Jackson, Mississippi 39201","extraContent":null,"urlPath":"","faqCategory":"general","sortOrder":1,"isActive":false},"2":{"id":2,"heading":"What is the mailing address of the Commission?","content":"The mailing address of the Commission is:

The Mississippi Workers' Compensation Commission
P.O. Box 5300
Jackson, MS 39296-5300","extraContent":null,"urlPath":"","faqCategory":"general","sortOrder":1,"isActive":false},"3":{"id":3,"heading":"What is the physical address of the Commission?","content":"The Commission is located at:

301 N Lamar St
Jackson, Mississippi 39201","extraContent":null,"urlPath":"","faqCategory":"general","sortOrder":1,"isActive":false},"9":{"id":9,"heading":"How do I file a Prehearing in ATOS?","content":"A brief PDF tutorial for filing a Prehearing is available here.

A short video demonstration of an ATOS Prehearing filing can also be viewed here.","extraContent":null,"urlPath":null,"faqCategory":"atosFAQ","sortOrder":1,"isActive":false},"23":{"id":23,"heading":"Who is the Business Office Staff?","content":"","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":1,"isActive":false},"39":{"id":39,"heading":"What is the waiting period for disability benefits?","content":"Compensation for disability is not paid for the first 5 days of disability unless your disability lasts for at least 14 days. See the The Mississippi Code, section 71-3-11.","extraContent":null,"urlPath":null,"faqCategory":"claimsDepartment","sortOrder":1,"isActive":false},"44":{"id":44,"heading":"Who are the staff members of the Commission Secretary's Office?","content":"","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":1,"isActive":false},"67":{"id":67,"heading":"What is your mailing address?","content":"Mississippi Workers??? Compensation Commission
P.O. Box 5300
Jackson, MS 39296-5300","extraContent":null,"urlPath":null,"faqCategory":"executiveDirector","sortOrder":1,"isActive":false},"79":{"id":79,"heading":"What services are offered to the public by IS?","content":"IS provides specific reports which can be purchased from the Commission.","extraContent":null,"urlPath":null,"faqCategory":"informationSystems","sortOrder":1,"isActive":false},"85":{"id":85,"heading":"Prehearing Statement News 3-15-08","content":"Click here for the Prehearing Statement News document (PDF)","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":1,"isActive":false},"103":{"id":103,"heading":"On anesthesia, it is my understanding that the units are allowed in 15 minute increments and that any portion of the 15 minutes is paid as an additional unit. Is that correct or can it be paid by the minute?","content":"It is paid as an additional unit. We do not pro rate portions of units","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":1,"isActive":false},"143":{"id":143,"heading":"Part II of the General Rules contained in the 2010 Fee Schedule establishes the most current version of the AMA???s Current Procedural Terminology, the ASA???s Relative Value Guide, and CMS???s HCPCS Level II codes, in effect at the time service is rendered, as the authoritative coding standard for workers??? compensation medical bills. However, what is the payment rule for current codes being billed which are not in the Fee Schedule and/or do not have a specific fee set forth in the Schedule?","content":"While the Commission requires billing to be based on the most current applicable codes in effect at the time service is rendered, we also realize that the most current codes are not always going to be listed in the Schedule with a specific fee. The Commission, at least annually, tries to identify all of the new, changed and deleted codes which have been adopted since the publication of the latest Fee Schedule, and make this list available as a free update on our web site. This list will include specific fees in most instances for codes not currently in the Schedule, or not in the most recent update. An updated list, along with specific fees, has not yet been completed and published since the Schedule was last updated July 1, 2010. Therefore, until this update occurs, payment for current codes/services which are not included in the Schedule is handled by our default payment rule set forth in Part I.A. of the Billing and Reimbursement Rules section of the Schedule, and which provides as follows:

???Maximum Reimbursement Allowance (MRA). Unless the payer and provider have a separate fee contract which provides for a different level of reimbursement, the maximum reimbursement allowance for health care services shall be the lesser of (a) the provider???s total billed charge, or (b) the maximum specific fee established by the Fee Schedule. Items or services or procedures which do not have a maximum specific fee established by this Fee Schedule shall be reimbursed at the usual and customary fee as defined in this Fee Schedule [use the Ingenix MDR database of Relative and Actual Charge Data, MS State Version, at the 40th percentile, to determine the UC fee], and in such cases, the maximum reimbursement allowance shall be the lesser of (1) the provider???s total billed charge, or (2) the usual and customary fee as defined by this Fee Schedule.

If this Fee Schedule does not establish a maximum specific fee for a particular service or procedure, and a usual and customary rate cannot be determined because the Ingenix MDR Payment System database does not contain a fee for same, then the maximum reimbursement allowance shall be equal to the national Medicare allowance plus thirty percent (30%). In the absence of an established Medicare value, and assuming none of the above provisions apply, the maximum reimbursement allowance shall be the provider???s total billed charge.???

As a point of clarification regarding payments at the usual and customary rate, please note in the current Fee Schedule, Introduction Part IV, ???usual and customary rate??? is defined as the ???reimbursement allowance equal to the amount displayed by the Ingenix MDR Payment System (Mississippi State Version) for the procedure at the 40th percentile. The Ingenix MDR Payment System is a national database of Relative and Actual Charge Data (RACD) which includes charge information for the State of Mississippi.??? This particular Database is being gradually phased out, and will be succeeded by FairHealth RV Benchmark Database effective 06-01-11. Both databases are updated monthly and the allowable may change throughout the year, and from and after June 1, 2011, either or both of the databases may be used to calculate the usual and customary rate, for so long as both databases are being fully maintained and updated monthly.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":1,"isActive":false},"165":{"id":165,"heading":"Is Mississippi planning to shift its workers' compensation reporting to ICD-10 or stick with ICD-9?","content":"There are no rules and regulations in the Mississippi Workers' Compensation (MWCC) Fee Schedule that reference diagnostic codes, therefore, ICD 10 will not influence us. It will automatically apply, of course, to all coders and Utilization Review providers. When everyone implements the ICD 10 code set on 10/01/2015, all workers' compensation bills will also reflect the new diagnostic codes but it will not alter any of the MWCC Fee Schedule allowables.","extraContent":null,"urlPath":null,"faqCategory":"mfs2013","sortOrder":1,"isActive":false},"177":{"id":177,"heading":"In the drug screen rules, what is the difference between drug confirmations and drug validity testing?","content":"In General Rules, page 9 it refers to confirmation testing. A confirmation test is used when the original drug screen results are inconsistent with the claimant's current medication regimen. If the original testing is inconsistent, then a confirmation test is also reimbursable under the fee schedule rules.

Page 293, E. 3., states that testing validity is not separately reimbursed. Validity testing includes, but is not limited to urine pH, Creatinine, Specific Gravity, Oxidents/PCC, nitrite, glutaraldehyde. Urine validity testing ensures the integrity of the test itself and does not measure drug presence or levels.","extraContent":null,"urlPath":null,"faqCategory":"mfs2016","sortOrder":1,"isActive":false},"188":{"id":188,"heading":"What services can be expected from the MWCC Rehabilitation Department?","content":"After a review of the injury and it has been determined that vocational rehabilitation can be of benefit to the injured. A referral is completed and sent to the Mississippi Department of Rehabilitation Services. The referral is then sent to the counselor serving the community where the injured lives.","extraContent":null,"urlPath":null,"faqCategory":"rehabilitationDivision","sortOrder":1,"isActive":false},"193":{"id":193,"heading":"Who is the Self Insurance Staff?","content":"","extraContent":null,"urlPath":null,"faqCategory":"selfInsurance","sortOrder":1,"isActive":false},"200":{"id":200,"heading":"What is the mailing address of the Commission?","content":"The mailing address of the Commission is:

The Mississippi Workers' Compensation Commission
P.O. Box 5300
Jackson, MS 39296-5300","extraContent":null,"urlPath":null,"faqCategory":"general","sortOrder":1,"isActive":true},"205":{"id":205,"heading":"How do I file a Prehearing in ATOS?","content":"A brief PDF tutorial for filing a Prehearing is available here.

A short video demonstration of an ATOS Prehearing filing can also be viewed here.","extraContent":null,"urlPath":"","faqCategory":"atosFAQ","sortOrder":1,"isActive":true},"219":{"id":219,"heading":"Who is the Business Office Staff?","content":"","extraContent":null,"urlPath":"","faqCategory":"businessOffice","sortOrder":1,"isActive":true},"235":{"id":235,"heading":"What is the waiting period for disability benefits?","content":"Compensation for disability is not paid for the first 5 days of disability unless your disability lasts for at least 14 days. See the The Mississippi Code, section 71-3-11.","extraContent":null,"urlPath":null,"faqCategory":"claimsDepartment","sortOrder":1,"isActive":true},"240":{"id":240,"heading":"Who are the staff members of the Commission Secretary's Office?","content":"","extraContent":null,"urlPath":"","faqCategory":"commissionSecretary","sortOrder":1,"isActive":true},"263":{"id":263,"heading":"What is your mailing address?","content":"Mississippi Workers??? Compensation Commission
P.O. Box 5300
Jackson, MS 39296-5300","extraContent":null,"urlPath":"","faqCategory":"executiveDirector","sortOrder":1,"isActive":true},"275":{"id":275,"heading":"What services are offered to the public by IS?","content":"IS provides specific reports which can be purchased from the Commission.","extraContent":null,"urlPath":null,"faqCategory":"informationSystems","sortOrder":1,"isActive":true},"281":{"id":281,"heading":"Prehearing Statement News 3-15-08","content":"Click here for the Prehearing Statement News document (PDF)","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":1,"isActive":true},"299":{"id":299,"heading":"On anesthesia, it is my understanding that the units are allowed in 15 minute increments and that any portion of the 15 minutes is paid as an additional unit. Is that correct or can it be paid by the minute?","content":"It is paid as an additional unit. We do not pro rate portions of units","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":1,"isActive":true},"339":{"id":339,"heading":"Part II of the General Rules contained in the 2010 Fee Schedule establishes the most current version of the AMA???s Current Procedural Terminology, the ASA???s Relative Value Guide, and CMS???s HCPCS Level II codes, in effect at the time service is rendered, as the authoritative coding standard for workers??? compensation medical bills. However, what is the payment rule for current codes being billed which are not in the Fee Schedule and/or do not have a specific fee set forth in the Schedule?","content":"While the Commission requires billing to be based on the most current applicable codes in effect at the time service is rendered, we also realize that the most current codes are not always going to be listed in the Schedule with a specific fee. The Commission, at least annually, tries to identify all of the new, changed and deleted codes which have been adopted since the publication of the latest Fee Schedule, and make this list available as a free update on our web site. This list will include specific fees in most instances for codes not currently in the Schedule, or not in the most recent update. An updated list, along with specific fees, has not yet been completed and published since the Schedule was last updated July 1, 2010. Therefore, until this update occurs, payment for current codes/services which are not included in the Schedule is handled by our default payment rule set forth in Part I.A. of the Billing and Reimbursement Rules section of the Schedule, and which provides as follows:

???Maximum Reimbursement Allowance (MRA). Unless the payer and provider have a separate fee contract which provides for a different level of reimbursement, the maximum reimbursement allowance for health care services shall be the lesser of (a) the provider???s total billed charge, or (b) the maximum specific fee established by the Fee Schedule. Items or services or procedures which do not have a maximum specific fee established by this Fee Schedule shall be reimbursed at the usual and customary fee as defined in this Fee Schedule [use the Ingenix MDR database of Relative and Actual Charge Data, MS State Version, at the 40th percentile, to determine the UC fee], and in such cases, the maximum reimbursement allowance shall be the lesser of (1) the provider???s total billed charge, or (2) the usual and customary fee as defined by this Fee Schedule.

If this Fee Schedule does not establish a maximum specific fee for a particular service or procedure, and a usual and customary rate cannot be determined because the Ingenix MDR Payment System database does not contain a fee for same, then the maximum reimbursement allowance shall be equal to the national Medicare allowance plus thirty percent (30%). In the absence of an established Medicare value, and assuming none of the above provisions apply, the maximum reimbursement allowance shall be the provider???s total billed charge.???

As a point of clarification regarding payments at the usual and customary rate, please note in the current Fee Schedule, Introduction Part IV, ???usual and customary rate??? is defined as the ???reimbursement allowance equal to the amount displayed by the Ingenix MDR Payment System (Mississippi State Version) for the procedure at the 40th percentile. The Ingenix MDR Payment System is a national database of Relative and Actual Charge Data (RACD) which includes charge information for the State of Mississippi.??? This particular Database is being gradually phased out, and will be succeeded by FairHealth RV Benchmark Database effective 06-01-11. Both databases are updated monthly and the allowable may change throughout the year, and from and after June 1, 2011, either or both of the databases may be used to calculate the usual and customary rate, for so long as both databases are being fully maintained and updated monthly.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":1,"isActive":true},"361":{"id":361,"heading":"Is Mississippi planning to shift its workers' compensation reporting to ICD-10 or stick with ICD-9?","content":"There are no rules and regulations in the Mississippi Workers' Compensation (MWCC) Fee Schedule that reference diagnostic codes, therefore, ICD 10 will not influence us. It will automatically apply, of course, to all coders and Utilization Review providers. When everyone implements the ICD 10 code set on 10/01/2015, all workers' compensation bills will also reflect the new diagnostic codes but it will not alter any of the MWCC Fee Schedule allowables.","extraContent":null,"urlPath":null,"faqCategory":"mfs2013","sortOrder":1,"isActive":true},"373":{"id":373,"heading":"In the drug screen rules, what is the difference between drug confirmations and drug validity testing?","content":"In General Rules, page 9 it refers to confirmation testing. A confirmation test is used when the original drug screen results are inconsistent with the claimant's current medication regimen. If the original testing is inconsistent, then a confirmation test is also reimbursable under the fee schedule rules.

Page 293, E. 3., states that testing validity is not separately reimbursed. Validity testing includes, but is not limited to urine pH, Creatinine, Specific Gravity, Oxidents/PCC, nitrite, glutaraldehyde. Urine validity testing ensures the integrity of the test itself and does not measure drug presence or levels.","extraContent":null,"urlPath":null,"faqCategory":"mfs2016","sortOrder":1,"isActive":true},"384":{"id":384,"heading":"What services can be expected from the MWCC Rehabilitation Department?","content":"After a review of the injury and it has been determined that vocational rehabilitation can be of benefit to the injured. A referral is completed and sent to the Mississippi Department of Rehabilitation Services. The referral is then sent to the counselor serving the community where the injured lives.","extraContent":null,"urlPath":null,"faqCategory":"rehabilitationDivision","sortOrder":1,"isActive":true},"389":{"id":389,"heading":"Who is the Self Insurance Staff?","content":"
  • Preston Williams, Self Insurance Director. Phone: 601-987-4207
  • Christy Wadford. Phone: 601-987-4204

  • Mississippi Workers' Compensation Commission
    P. O. Box 5300
    Jackson, MS 39296-5300
","extraContent":null,"urlPath":"","faqCategory":"selfInsurance","sortOrder":1,"isActive":true},"395":{"id":395,"heading":"Are there any changes related to procedures payer may waiver pre-authorization for?","content":"Yes, two new categories - Elective admissions to inpatient facilities, Elective surgical procedures","extraContent":null,"urlPath":"","faqCategory":"mfs2022","sortOrder":1,"isActive":true},"396":{"id":396,"heading":"Are there any changes to Prior Authorization requirements for 2022?","content":"Mandatory pre-authorization was updated to be optional at the discretion of the payor for\nPain Management procedures. Repeat MRI, EMG/NCS and myelograms","extraContent":null,"urlPath":"","faqCategory":"mfs2022","sortOrder":1,"isActive":true},"397":{"id":397,"heading":"Is Lidocaine covered?","content":"Over the Counter Lidocaine must be tried and proven ineffective before prescription strength medications, including patches may be used.","extraContent":null,"urlPath":"","faqCategory":"mfs2022","sortOrder":1,"isActive":true},"398":{"id":398,"heading":"Is Telemedicine still covered under Worker’s Compensation?","content":"Yes, the 2020 telemedicine expansion rule was made permanent in the 2022 Medical Fee Schedule.","extraContent":null,"urlPath":"","faqCategory":"mfs2022","sortOrder":1,"isActive":true},"399":{"id":399,"heading":"How should billing be done for Telemedicine?","content":"Yes, services performed via telemedicine should be billed with Modifier 93, Synchronous Telemedicine Service Rendered Via Telephone or Other Real-Time Interactive Audio-Only Telecommunications System or Modifier 95, Synchronous Telemedicine Service Rendered Via Real-time Interactive Audio and Video Telecommunications System with place of service code 02.","extraContent":null,"urlPath":"","faqCategory":"mfs2022","sortOrder":1,"isActive":true},"5":{"id":5,"heading":"What is the phone number of the Commission?","content":"The main switchboard number is (601) 987-4200.","extraContent":null,"urlPath":null,"faqCategory":"general","sortOrder":2,"isActive":false},"10":{"id":10,"heading":"How do I file an Amended Prehearing in ATOS?","content":"A brief PDF tutorial for filing an Amended Prehearing is available here.

A short video demonstration of an ATOS Amended Prehearing filing can also be viewed here.","extraContent":null,"urlPath":null,"faqCategory":"atosFAQ","sortOrder":2,"isActive":false},"24":{"id":24,"heading":"Who are the contacts for...","content":"
  • Accounts Payable - Michelle Bumpus
  • Purchasing & Accounts Receivable - Inez Hankins
  • Payroll & Second Injury Fund - Daisy Joiner
  • Budget, Property, Investments, Fund Management, GAAP and General Procedures - Inez Hankins
","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":2,"isActive":false},"40":{"id":40,"heading":"Does the 5 day waiting period have to be consecutive days?","content":"No.","extraContent":null,"urlPath":null,"faqCategory":"claimsDepartment","sortOrder":2,"isActive":false},"45":{"id":45,"heading":"Where can I purchase a copy of the Mississippi Workers' Compensation Law and Commission Forms?","content":"","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":2,"isActive":false},"68":{"id":68,"heading":"What is your physical address?","content":"Mississippi Workers??? Compensation Commission
301 N Lamar St
Jackson, MS 39201","extraContent":null,"urlPath":null,"faqCategory":"executiveDirector","sortOrder":2,"isActive":false},"80":{"id":80,"heading":"Who is the IS Staff?","content":"","extraContent":null,"urlPath":null,"faqCategory":"informationSystems","sortOrder":2,"isActive":false},"86":{"id":86,"heading":"What services are offered by the Hearing Section?","content":"The Hearing Section consists of the docket room, pre-hearing department, administrative judges, and secretaries for the administrative judges. This Section maintains the controverted files (cases in which there is a dispute) from the time the claimant files a petition to controvert until the matter is concluded at a hearing before an administrative judge or by settlement. A controverted file is processed initially in the pre-hearing department. When the employer/carrier files an answer to the petition to controvert, the controverted file is transferred to the docket room to be assigned to an administrative judge. There are eight administrative judges who travel to all counties of the State to hold evidentiary hearings in workers??? compensation cases. There are four legal assistants and two secretaries who assist the judges.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":2,"isActive":false},"104":{"id":104,"heading":"I would like to clarify Anesthesia Reimbursement rule number 5 on page 51. Regarding the statement \"when an anesthesiologist directs a CRNA, the total reimbursement amount for the anesthesia will not exceed the amount allowed for that procedure.\" How should this scenario be reimbursed?","content":"We did not specify how it is to be reimbursed. This would be between the MD and CRNA. All we say is total reimbursement can not exceed 100% of the allowable fee schedule amount.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":2,"isActive":false},"144":{"id":144,"heading":"While treating a patient for a work-related orthopaedic injury, I requested the patient undergo an MRI, and I specifically requested the MRI be conducted at a certain facility. The payer declined to approve the MRI at the facility I requested, and instead advised they would only approve the MRI being done with one of their preferred network providers. Can the payer unilaterally redirect patient care for diagnostic tests such as an MRI?","content":"The payer, in this instance, clearly violated the Rules contained in the Mississippi Workers' Compensation Medical Fee Schedule. In particular, General Rules, Part X on page 11-12 of the 2010 Mississippi Workers Compensation Medical Fee Schedule states:

X. SELECTION OF PROVIDERS. The selection of appropriate providers for diagnostic testing or analysis, including but not limited to CAT scans, MRI, x-ray, and laboratory, for physical or occupational therapy, including work hardening, functional capacity evaluations, back schools, chronic pain programs, or massage therapy shall be at the direction of the treating or prescribing physician. In the absence of specific direction from the treating or prescribing physician, the selection shall be made by the payer, in consultation with the treating or prescribing physician. Physical or occupational therapy, including work hardening, functional capacity evaluations, back schools, chronic pain programs, or massage therapy shall be provided upon referral from a physician. In the absence of specific direction from the treating or prescribing physician, the selection of a provider for these services shall be made by the payer in consultation with the treating or prescribing physician.

Referral for an electromyogram and/or a nerve conduction study shall be at the discretion and direction of the physician in charge of care, and neither the payer nor the payer's agent may unilaterally or arbitrarily redirect the patient to another provider for these tests. The payer or the payer's agent may, however, discuss with the physician in charge of care appropriate providers for the conduct of these tests in an effort to reach an agreement with the physician in charge as to who will conduct an electromyogram and/or nerve conduction study in any given case.

This same rule is repeated in the Physical Medicine Rules, Part XI(c), wherein in states:

XI. ELECTROMYOGRAM (EMG) AND NERVE CONDUCTION STUDY (NCS)

C. Referral for an electromyogram and/or a nerve conduction study shall be at the discretion and direction of the physician in charge of care, and neither the payer nor the payer's agent may unilaterally or arbitrarily redirect the patient to another provider for these tests. The payer or the payer's agent may, however, discuss with the physician in charge of care appropriate providers for the conduct of these tests in an effort to reach an agreement with the physician in charge as to who will conduct an electromyogram and/or nerve conduction study in any given case.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":2,"isActive":false},"166":{"id":166,"heading":"How is 97545 reimbursed. Is it paid once per date of service or once per injury?","content":"It is once per injury.","extraContent":null,"urlPath":null,"faqCategory":"mfs2013","sortOrder":2,"isActive":false},"178":{"id":178,"heading":"How does the State of Mississippi Workers' Compensation Commission apply corrections or updates to the CMS Medicare Threshold?","content":"Once the Annual In-Patient Hospital Amounts are posted on the MWCC website each year, the Medicare Threshold and MS Hospital Outlier Threshold do not change, regardless of any other updates or corrections posted by CMS.","extraContent":null,"urlPath":null,"faqCategory":"mfs2016","sortOrder":2,"isActive":false},"189":{"id":189,"heading":"Who is the MWCC Rehabilitation Department Staff?","content":"Amanda Hammond","extraContent":null,"urlPath":null,"faqCategory":"rehabilitationDivision","sortOrder":2,"isActive":false},"194":{"id":194,"heading":"What are the requirements for individual self insurance?","content":"An individual entity must fill out the required application (on our website, Commission Forms) and return it to this department. All applicants will be required to submit a statement of financial condition audited by an independent certified public accountant. A hearing will be held to determine if an applicant will be approved. During that hearing the applicant will address such issues as their financial position, business plan, safety programs, claim handling and other appropriate issues as warranted. Once approved, it is the self insurance entities responsibility to fulfill all requirements of the Commission. Among these are the annual submission of audited financials, proper security, excess insurance, safety reports, as well as any other Commission directed material. Every three years all individual entities (except exempt state agencies) are required to furnish an actuarial report from a qualified actuary revealing their appropriate reserves, including incurred but not reported (IBNR).","extraContent":null,"urlPath":null,"faqCategory":"selfInsurance","sortOrder":2,"isActive":false},"201":{"id":201,"heading":"What is the phone number of the Commission?","content":"The main switchboard number is (601) 987-4200.","extraContent":null,"urlPath":null,"faqCategory":"general","sortOrder":2,"isActive":true},"206":{"id":206,"heading":"How do I file an Amended Prehearing in ATOS?","content":"A brief PDF tutorial for filing an Amended Prehearing is available here.

A short video demonstration of an ATOS Amended Prehearing filing can also be viewed here.","extraContent":null,"urlPath":"","faqCategory":"atosFAQ","sortOrder":2,"isActive":true},"220":{"id":220,"heading":"Who are the contacts for...","content":"
  • Accounts Payable - Mary Brodersen
  • Purchasing & Accounts Receivable - Inez Hankins
  • Payroll & Second Injury Fund - Inez Hankins
  • Budget, Property, Investments, Fund Management, GAAP and General Procedures - Inez Hankins
","extraContent":null,"urlPath":"","faqCategory":"businessOffice","sortOrder":2,"isActive":true},"236":{"id":236,"heading":"Does the 5 day waiting period have to be consecutive days?","content":"No.","extraContent":null,"urlPath":null,"faqCategory":"claimsDepartment","sortOrder":2,"isActive":true},"241":{"id":241,"heading":"Where can I purchase a copy of the Mississippi Workers' Compensation Law and Commission Forms?","content":"","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":2,"isActive":true},"264":{"id":264,"heading":"What is your physical address?","content":"Mississippi Workers’ Compensation Commission
301 N Lamar St.
Jackson, MS 39201","extraContent":null,"urlPath":"","faqCategory":"executiveDirector","sortOrder":2,"isActive":true},"276":{"id":276,"heading":"Who is the IT Staff?","content":"","extraContent":null,"urlPath":"","faqCategory":"informationSystems","sortOrder":2,"isActive":true},"282":{"id":282,"heading":"What services are offered by the Hearing Section?","content":"The Hearing Section consists of the docket room, pre-hearing department, administrative judges, and secretaries for the administrative judges. This Section maintains the controverted files (cases in which there is a dispute) from the time the claimant files a petition to controvert until the matter is concluded at a hearing before an administrative judge or by settlement. A controverted file is processed initially in the pre-hearing department. When the employer/carrier files an answer to the petition to controvert, the controverted file is transferred to the docket room to be assigned to an administrative judge. There are eight administrative judges who travel to all counties of the State to hold evidentiary hearings in workers??? compensation cases. There are four legal assistants and two secretaries who assist the judges.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":2,"isActive":true},"300":{"id":300,"heading":"I would like to clarify Anesthesia Reimbursement rule number 5 on page 51. Regarding the statement \"when an anesthesiologist directs a CRNA, the total reimbursement amount for the anesthesia will not exceed the amount allowed for that procedure.\" How should this scenario be reimbursed?","content":"We did not specify how it is to be reimbursed. This would be between the MD and CRNA. All we say is total reimbursement can not exceed 100% of the allowable fee schedule amount.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":2,"isActive":true},"340":{"id":340,"heading":"While treating a patient for a work-related orthopaedic injury, I requested the patient undergo an MRI, and I specifically requested the MRI be conducted at a certain facility. The payer declined to approve the MRI at the facility I requested, and instead advised they would only approve the MRI being done with one of their preferred network providers. Can the payer unilaterally redirect patient care for diagnostic tests such as an MRI?","content":"The payer, in this instance, clearly violated the Rules contained in the Mississippi Workers' Compensation Medical Fee Schedule. In particular, General Rules, Part X on page 11-12 of the 2010 Mississippi Workers Compensation Medical Fee Schedule states:

X. SELECTION OF PROVIDERS. The selection of appropriate providers for diagnostic testing or analysis, including but not limited to CAT scans, MRI, x-ray, and laboratory, for physical or occupational therapy, including work hardening, functional capacity evaluations, back schools, chronic pain programs, or massage therapy shall be at the direction of the treating or prescribing physician. In the absence of specific direction from the treating or prescribing physician, the selection shall be made by the payer, in consultation with the treating or prescribing physician. Physical or occupational therapy, including work hardening, functional capacity evaluations, back schools, chronic pain programs, or massage therapy shall be provided upon referral from a physician. In the absence of specific direction from the treating or prescribing physician, the selection of a provider for these services shall be made by the payer in consultation with the treating or prescribing physician.

Referral for an electromyogram and/or a nerve conduction study shall be at the discretion and direction of the physician in charge of care, and neither the payer nor the payer's agent may unilaterally or arbitrarily redirect the patient to another provider for these tests. The payer or the payer's agent may, however, discuss with the physician in charge of care appropriate providers for the conduct of these tests in an effort to reach an agreement with the physician in charge as to who will conduct an electromyogram and/or nerve conduction study in any given case.

This same rule is repeated in the Physical Medicine Rules, Part XI(c), wherein in states:

XI. ELECTROMYOGRAM (EMG) AND NERVE CONDUCTION STUDY (NCS)

C. Referral for an electromyogram and/or a nerve conduction study shall be at the discretion and direction of the physician in charge of care, and neither the payer nor the payer's agent may unilaterally or arbitrarily redirect the patient to another provider for these tests. The payer or the payer's agent may, however, discuss with the physician in charge of care appropriate providers for the conduct of these tests in an effort to reach an agreement with the physician in charge as to who will conduct an electromyogram and/or nerve conduction study in any given case.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":2,"isActive":true},"362":{"id":362,"heading":"How is 97545 reimbursed. Is it paid once per date of service or once per injury?","content":"It is once per injury.","extraContent":null,"urlPath":null,"faqCategory":"mfs2013","sortOrder":2,"isActive":true},"374":{"id":374,"heading":"How does the State of Mississippi Workers' Compensation Commission apply corrections or updates to the CMS Medicare Threshold?","content":"Once the Annual In-Patient Hospital Amounts are posted on the MWCC website each year, the Medicare Threshold and MS Hospital Outlier Threshold do not change, regardless of any other updates or corrections posted by CMS.","extraContent":null,"urlPath":null,"faqCategory":"mfs2016","sortOrder":2,"isActive":true},"385":{"id":385,"heading":"Who is the MWCC Rehabilitation Department Staff?","content":"Amanda Hammond","extraContent":null,"urlPath":null,"faqCategory":"rehabilitationDivision","sortOrder":2,"isActive":true},"390":{"id":390,"heading":"What are the requirements for individual self insurance?","content":"An individual entity must fill out the required application (on our website, Commission Forms) and return it to this department. All applicants will be required to submit a statement of financial condition audited by an independent certified public accountant. A hearing will be held to determine if an applicant will be approved. During that hearing the applicant will address such issues as their financial position, business plan, safety programs, claim handling and other appropriate issues as warranted. Once approved, it is the self insurance entities responsibility to fulfill all requirements of the Commission. Among these are the annual submission of audited financials, proper security, excess insurance, safety reports, as well as any other Commission directed material. Every three years all individual entities (except exempt state agencies) are required to furnish an actuarial report from a qualified actuary revealing their appropriate reserves, including incurred but not reported (IBNR).","extraContent":null,"urlPath":null,"faqCategory":"selfInsurance","sortOrder":2,"isActive":true},"400":{"id":400,"heading":"Is Mississippi-specific code 9936M, “medical conference by a physician and case manager” included in the 2022 Medical Fee Schedule?","content":"No, the 2022 Medical Fee Schedule replaced the Mississippi-specific code 9936M with CPT code 99368-medical team conference","extraContent":null,"urlPath":"","faqCategory":"mfs2022","sortOrder":2,"isActive":true},"401":{"id":401,"heading":"Any changes to Out-of-State Medical treatment?","content":"The order of preference has been changed. Fee Schedule in the State where the services are provided. Negotiated by the parties. Paid based on the usual and customary rate for the geographic area.","extraContent":null,"urlPath":"","faqCategory":"mfs2022","sortOrder":2,"isActive":true},"402":{"id":402,"heading":"Any updates to selection of providers for Durable Medical Equipment?","content":"Yes, threshold for payer to direct selection of providers was increased from $300 to $400.","extraContent":null,"urlPath":"","faqCategory":"mfs2022","sortOrder":2,"isActive":true},"404":{"id":404,"heading":"Any changes to Evaluation and Management guidelines?","content":"Time or medical decision making can be used to select codes for certain services. Documentation requirements were streamlines. Updated language in guidelines. The AMA continues to make updates, so language was added to follow guidelines “that are current on the date the service was provided.\" Prescriptive language was removed from the fee schedule so it can keep current with changing practices.","extraContent":null,"urlPath":"","faqCategory":"mfs2022","sortOrder":2,"isActive":true},"6":{"id":6,"heading":"What is the fax number of the Commission?","content":"The Commission does not maintain a publicly accessible fax number.","extraContent":null,"urlPath":null,"faqCategory":"general","sortOrder":3,"isActive":false},"11":{"id":11,"heading":"How do I take my paper filings and convert them into PDF documents?","content":"
  • You???ll need a computer with Internet access and a scanner, preferably one with an automatic document feeder (ADF). You???ll use the scanner to scan the paper into PDF documents that can be saved onto your computer.

  • Documents should be scanned in as portrait orientation (not landscape).

  • If you scan in black & white (or monochrome) at 300 DPI, you should be able to scan at least 50 pages in under the 12 megabyte file size limit.
","extraContent":null,"urlPath":null,"faqCategory":"atosFAQ","sortOrder":3,"isActive":false},"25":{"id":25,"heading":"Explain the MWCC Annual Assessment Collection Process.","content":"Please refer to ??71-3-99 and ??71-3-100 of The Mississippi Workers' Compensation Law. For additional information, contact Inez Hankins.","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":3,"isActive":false},"41":{"id":41,"heading":"Does Form B-39 (Quarterly Report of Medical Only Injuries) have to be filed?","content":"No, this requirement was discontinued on July 1, 1995. See the The Mississippi Code, section 71-3-67 (2).","extraContent":null,"urlPath":null,"faqCategory":"claimsDepartment","sortOrder":3,"isActive":false},"46":{"id":46,"heading":"Are Commission forms color-coded?","content":"All Commission forms should now be submitted to the Commission on white paper to aid in the imaging process of our claim files.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":3,"isActive":false},"69":{"id":69,"heading":"How can I apply for a position with The Mississippi Workers??? Compensation Commission?","content":"
  • To inquire about job vacancies within the agency, call the Executive Director???s office at (601) 987-4204.
  • To find out about job vacancies within the State, call MS State Personnel Board, (601) 359-1406, or visit their office at 210 East Capitol Street, Suite 250, Jackson, MS 39201.
","extraContent":null,"urlPath":null,"faqCategory":"executiveDirector","sortOrder":3,"isActive":false},"81":{"id":81,"heading":"Who are the contacts for...","content":"
  • Claims CD - This product is no longer available as of July 15, 2007
  • Report requests - Dorothy Irving
  • Web page information/registration questions - Matt Torres
","extraContent":null,"urlPath":null,"faqCategory":"informationSystems","sortOrder":3,"isActive":false},"87":{"id":87,"heading":"Who staffs the Docket Room?","content":"","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":3,"isActive":false},"105":{"id":105,"heading":"Are we legally bound to use Redbook, or can we use the Medispan program?","content":"Red Book as specified in guidelines of the Fee Schedule is what you are to use. Anything not listed is to be reduced to usual and customary.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":3,"isActive":false},"145":{"id":145,"heading":"While treating a patient for a work related injury, I recommended the patient undergo an EMG/NCS. I requested to administer the test myself at my clinic, but the payer refused to authorize this, and instead unilaterally redirected the patient to another EMG/NCS provider because I was not in their preferred network of providers for this service. I am otherwise qualified to administer this test and prefer to do my own EMG/NCS testing. Is this permissible under the Fee Schedule?","content":"The payer, in this instance, clearly violated the Rules contained in the Mississippi Workers' Compensation Medical Fee Schedule. In particular, General Rules, Part X on page 11-12 of the 2010 Mississippi Workers Compensation Medical Fee Schedule states:

X. SELECTION OF PROVIDERS. The selection of appropriate providers for diagnostic testing or analysis, including but not limited to CAT scans, MRI, x-ray, and laboratory, for physical or occupational therapy, including work hardening, functional capacity evaluations, back schools, chronic pain programs, or massage therapy shall be at the direction of the treating or prescribing physician. In the absence of specific direction from the treating or prescribing physician, the selection shall be made by the payer, in consultation with the treating or prescribing physician. Physical or occupational therapy, including work hardening, functional capacity evaluations, back schools, chronic pain programs, or massage therapy shall be provided upon referral from a physician. In the absence of specific direction from the treating or prescribing physician, the selection of a provider for these services shall be made by the payer in consultation with the treating or prescribing physician.

Referral for an electromyogram and/or a nerve conuction study shall be at the discretion and direction of the physician in charge of care, and neither the payer nor the payer's agent may unilaterally or arbitrarily redirect the patient to another provider for these tests. The payer or the payer's agent may, however, discuss with the physician in charge of care appropriate providers for the conduct of these tests in an effort to reach an agreement with the physician in charge as to who will conduct an electromyogram and/or nerve conduction study in any given case.

This same rule is repeated in the Physical Medicine Rules, Part XI(c), wherein in states:

XI. ELECTROMYOGRAM (EMG) AND NERVE CONDUCTION STUDY (NCS)

C. Referral for an electromyogram and/or a nerve conduction study shall be at the discretion and direction of the physician in charge of care, and neither the payer nor the payer's agent may unilaterally or arbitrarily redirect the patient to another provider for these tests. The payer or the payer's agent may, however, discuss with the physician in charge of care appropriate providers for the conduct of these tests in an effort to reach an agreement with the physician in charge as to who will conduct an electromyogram and/or nerve conduction study in any given case.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":3,"isActive":false},"167":{"id":167,"heading":"When a patient is seen at a facility other than MD office, are both the physician and the APC amount reimbursed?","content":"No, for CPT codes 99201-99215 only one (1) provider is reimbursed. The facility component has already been calculated into the MWCC allowable. The only exception is when a patient is seen in an established wound care center.

This also applies to any other CPT and/or any HCPCS code regarding office visits.","extraContent":null,"urlPath":null,"faqCategory":"mfs2013","sortOrder":3,"isActive":false},"179":{"id":179,"heading":"How is a VMA (Vertebral Motion Analysis) of the spine reimbursed?","content":"These are generally done on the cervical and lumbar spine. It is generally billed with 76496 which is an unlisted procedure. There is no specific CPT for this radiological test. For the cervical spine pay the combination of 76000 and 72052. For the lumbar spine pay the combination of 76000 and 72110.","extraContent":null,"urlPath":null,"faqCategory":"mfs2016","sortOrder":3,"isActive":false},"190":{"id":190,"heading":"What is the cost of Vocational Rehabilitation from the MS Department of Rehabilitation Services?","content":"The Mississippi Department of Rehabilitation Services is supported by tax dollars from Federal and State funds. Vocational Rehabilitation pays for services needed for your rehabilitation. If you are financially able to pay a portion of the expenses, we will ask that you do so.","extraContent":null,"urlPath":null,"faqCategory":"rehabilitationDivision","sortOrder":3,"isActive":false},"195":{"id":195,"heading":"How do I obtain information regarding the Assigned Risk Pool in Mississippi?","content":"Applications for insurance coverage should be directed to the National Council on Compensation Insurance (NCCI). Their toll free number is 800-NCCI-123 ext. 1174, and their website is www.ncci.com","extraContent":null,"urlPath":null,"faqCategory":"selfInsurance","sortOrder":3,"isActive":false},"202":{"id":202,"heading":"What is the fax number of the Commission?","content":"The Commission does not maintain a publicly accessible fax number.","extraContent":null,"urlPath":null,"faqCategory":"general","sortOrder":3,"isActive":true},"207":{"id":207,"heading":"How do I take my paper filings and convert them into PDF documents?","content":"
  • You'll need a computer with Internet access and a scanner, preferably one with an automatic document feeder (ADF). You???ll use the scanner to scan the paper into PDF documents that can be saved onto your computer.

  • Documents should be scanned in as portrait orientation (not landscape).

  • If you scan in black & white (or monochrome) at 300 DPI, you should be able to scan at least 50 pages in under the 12 megabyte file size limit.
","extraContent":null,"urlPath":"","faqCategory":"atosFAQ","sortOrder":3,"isActive":true},"221":{"id":221,"heading":"Explain the MWCC Annual Assessment Collection Process.","content":"Please refer to ??71-3-99 and ??71-3-100 of The Mississippi Workers' Compensation Law. For additional information, contact Inez Hankins.","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":3,"isActive":true},"237":{"id":237,"heading":"Does Form B-39 (Quarterly Report of Medical Only Injuries) have to be filed?","content":"No, this requirement was discontinued on July 1, 1995. See the The Mississippi Code, section 71-3-67 (2).","extraContent":null,"urlPath":null,"faqCategory":"claimsDepartment","sortOrder":3,"isActive":true},"242":{"id":242,"heading":"Are Commission forms color-coded?","content":"All Commission forms should now be submitted to the Commission on white paper to aid in the imaging process of our claim files.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":3,"isActive":true},"265":{"id":265,"heading":"How can I apply for a position with The Mississippi Workers??? Compensation Commission?","content":"
  • To inquire about job vacancies within the agency, call the Executive Director???s office at (601) 987-4204.
  • To find out about job vacancies within the State, call MS State Personnel Board, (601) 359-1406, or visit their office at 210 East Capitol Street, Suite 250, Jackson, MS 39201.
","extraContent":null,"urlPath":"","faqCategory":"executiveDirector","sortOrder":3,"isActive":true},"277":{"id":277,"heading":"Who are the contacts for...","content":"
  • Claims CD - This product is no longer available as of July 15, 2007
  • Report requests - Bryson Andrews
  • Web page information/registration questions - Fredrick Lyles
","extraContent":null,"urlPath":"","faqCategory":"informationSystems","sortOrder":3,"isActive":true},"283":{"id":283,"heading":"Who staffs the Docket Room?","content":"","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":3,"isActive":true},"301":{"id":301,"heading":"Are we legally bound to use Redbook, or can we use the Medispan program?","content":"Red Book as specified in guidelines of the Fee Schedule is what you are to use. Anything not listed is to be reduced to usual and customary.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":3,"isActive":true},"341":{"id":341,"heading":"While treating a patient for a work related injury, I recommended the patient undergo an EMG/NCS. I requested to administer the test myself at my clinic, but the payer refused to authorize this, and instead unilaterally redirected the patient to another EMG/NCS provider because I was not in their preferred network of providers for this service. I am otherwise qualified to administer this test and prefer to do my own EMG/NCS testing. Is this permissible under the Fee Schedule?","content":"The payer, in this instance, clearly violated the Rules contained in the Mississippi Workers' Compensation Medical Fee Schedule. In particular, General Rules, Part X on page 11-12 of the 2010 Mississippi Workers Compensation Medical Fee Schedule states:

X. SELECTION OF PROVIDERS. The selection of appropriate providers for diagnostic testing or analysis, including but not limited to CAT scans, MRI, x-ray, and laboratory, for physical or occupational therapy, including work hardening, functional capacity evaluations, back schools, chronic pain programs, or massage therapy shall be at the direction of the treating or prescribing physician. In the absence of specific direction from the treating or prescribing physician, the selection shall be made by the payer, in consultation with the treating or prescribing physician. Physical or occupational therapy, including work hardening, functional capacity evaluations, back schools, chronic pain programs, or massage therapy shall be provided upon referral from a physician. In the absence of specific direction from the treating or prescribing physician, the selection of a provider for these services shall be made by the payer in consultation with the treating or prescribing physician.

Referral for an electromyogram and/or a nerve conuction study shall be at the discretion and direction of the physician in charge of care, and neither the payer nor the payer's agent may unilaterally or arbitrarily redirect the patient to another provider for these tests. The payer or the payer's agent may, however, discuss with the physician in charge of care appropriate providers for the conduct of these tests in an effort to reach an agreement with the physician in charge as to who will conduct an electromyogram and/or nerve conduction study in any given case.

This same rule is repeated in the Physical Medicine Rules, Part XI(c), wherein in states:

XI. ELECTROMYOGRAM (EMG) AND NERVE CONDUCTION STUDY (NCS)

C. Referral for an electromyogram and/or a nerve conduction study shall be at the discretion and direction of the physician in charge of care, and neither the payer nor the payer's agent may unilaterally or arbitrarily redirect the patient to another provider for these tests. The payer or the payer's agent may, however, discuss with the physician in charge of care appropriate providers for the conduct of these tests in an effort to reach an agreement with the physician in charge as to who will conduct an electromyogram and/or nerve conduction study in any given case.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":3,"isActive":true},"363":{"id":363,"heading":"When a patient is seen at a facility other than MD office, are both the physician and the APC amount reimbursed?","content":"No, for CPT codes 99201-99215 only one (1) provider is reimbursed. The facility component has already been calculated into the MWCC allowable. The only exception is when a patient is seen in an established wound care center.

This also applies to any other CPT and/or any HCPCS code regarding office visits.","extraContent":null,"urlPath":null,"faqCategory":"mfs2013","sortOrder":3,"isActive":true},"375":{"id":375,"heading":"How is a VMA (Vertebral Motion Analysis) of the spine reimbursed?","content":"These are generally done on the cervical and lumbar spine. It is generally billed with 76496 which is an unlisted procedure. There is no specific CPT for this radiological test. For the cervical spine pay the combination of 76000 and 72052. For the lumbar spine pay the combination of 76000 and 72110.","extraContent":null,"urlPath":null,"faqCategory":"mfs2016","sortOrder":3,"isActive":true},"386":{"id":386,"heading":"What is the cost of Vocational Rehabilitation from the MS Department of Rehabilitation Services?","content":"The Mississippi Department of Rehabilitation Services is supported by tax dollars from Federal and State funds. Vocational Rehabilitation pays for services needed for your rehabilitation. If you are financially able to pay a portion of the expenses, we will ask that you do so.","extraContent":null,"urlPath":null,"faqCategory":"rehabilitationDivision","sortOrder":3,"isActive":true},"391":{"id":391,"heading":"How do I obtain information regarding the Assigned Risk Pool in Mississippi?","content":"Applications for insurance coverage should be directed to the National Council on Compensation Insurance (NCCI). Their toll free number is 800-NCCI-123 ext. 1174, and their website is www.ncci.com","extraContent":null,"urlPath":null,"faqCategory":"selfInsurance","sortOrder":3,"isActive":true},"405":{"id":405,"heading":"Any updates related to Pain Management?","content":"The 2022 Medical Fee Schedule clarified use of Modifier 50 for bilateral procedures in pain management. Reimbursement shall be 25% of the fee schedule amount. Fluoroscopy will not be paid separately in most cases. Bundled in the rate for the primary procedure. Updated language for epidural and facet injections. Pre-authorization for pain management procedures were made optional. Language for medically-necessary nerve blocks was added to the Surgery Section.","extraContent":null,"urlPath":"","faqCategory":"mfs2022","sortOrder":3,"isActive":true},"7":{"id":7,"heading":"Who do I call about...","content":"For additional contact information, please see our key contacts page.","extraContent":null,"urlPath":null,"faqCategory":"general","sortOrder":4,"isActive":false},"12":{"id":12,"heading":"How do I convert my pleadings to PDF?","content":"Documents that are created using a word processor (Word, WordPerfect, etc) can be converted into Adobe PDF either through the word processor software or through a PDF printer.

  • In most new versions of Word, click File > Save As and choose PDF under the ???Save As Type??? box.

  • In WordPerfect, click File > Publish to PDF.

  • There are multiple PDF printers available on the Internet to download and install. To an application, the PDF Printer looks like a printer and allows the application to write a document as a PDF Document in the same way it would print the document to the printer. When a user prints their document to PDF Printer, rather than sending the file to a laser jet or inkjet printer, the software creates a PDF Document.
","extraContent":null,"urlPath":null,"faqCategory":"atosFAQ","sortOrder":4,"isActive":false},"26":{"id":26,"heading":"What is the current assessment rate?","content":"The 2014 assessment rate is 1.55%","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":4,"isActive":false},"42":{"id":42,"heading":"Do I file a First Report if the claimant does not lose time but has a disability rating or serious facial disfigurement?","content":"Yes. Any claim involving payment for any type of disability should be filed with the Commission. See the The Mississippi Code, section 71-3-67 (1).","extraContent":null,"urlPath":null,"faqCategory":"claimsDepartment","sortOrder":4,"isActive":false},"47":{"id":47,"heading":"How is a Commission file created?","content":"The Commission file may be set up by the filing of a First Report of Injury Form by the employer or by the filing of a Form B-5,11 by the claimant and/or his or her attorney.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":4,"isActive":false},"70":{"id":70,"heading":"How do I obtain a list of the Self-Insured Companies and Group Self- Insurers within the State of Mississippi","content":"To obtain a list of the self-insured companies or group self-insurers within the State, send a written request along with a check in the amount of $25.00 to:

Mississippi Workers??? Compensation Commission
Self-Insurance Department
Attention: Preston Williams
P.O. Box 5300
Jackson, MS 39296-5300.","extraContent":null,"urlPath":null,"faqCategory":"executiveDirector","sortOrder":4,"isActive":false},"82":{"id":82,"heading":"What are the costs for reports?","content":"Standard reports cost $25 to $50, depending on the report. Customized reports start at $50 and go up from that figure, depending on the amount of time involved in creating the report. We reserve the right to decline to provide custom reports if the time investment is too great.","extraContent":null,"urlPath":null,"faqCategory":"informationSystems","sortOrder":4,"isActive":false},"88":{"id":88,"heading":"Who is responsible for the Petition to Controvert and Answers?","content":"Paula Mobley, 601-987-4260. E-mail: pmobley@mwcc.ms.gov.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":4,"isActive":false},"106":{"id":106,"heading":"If a service is provided to a claimant out of state, whose rule for reimbursement of records applies? (i.e. If seen in Alabama do we have to pay copy costs for Alabama or do the Mississippi rules apply?)","content":"If a service is provided to a claimant out of state, whose rule for reimbursement of records applies? (i.e. If seen in Alabama do we have to pay copy costs for Alabama or do the Mississippi rules apply?)","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":4,"isActive":false},"146":{"id":146,"heading":"What criteria should be used for editing bundling or unbundling issues?","content":"Both CPT Assistant and NCCI edits can be used. In some instances, these two sources conflict. When there is a conflict the NCCI rule will take precedence.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":4,"isActive":false},"168":{"id":168,"heading":"Are shipping and handling charges reimbursed based on the fee schedule?","content":"The fee schedule allowable include shipping and handling. If shipping and handling is billed separately, then the total reimbursement should not exceed the fee schedule allowable.","extraContent":null,"urlPath":null,"faqCategory":"mfs2013","sortOrder":4,"isActive":false},"180":{"id":180,"heading":"How is the facility reimbursed for 27096?","content":"You will note that there is no allowable for the facility in the fee schedule for 27096. However, there is a facility allowable for G0260. You would be reimbursed that amount which is $833.41.","extraContent":null,"urlPath":null,"faqCategory":"mfs2016","sortOrder":4,"isActive":false},"191":{"id":191,"heading":"What services can I expect from the MS Department of Rehabilitation Services?","content":"After eligibility has been established, the vocational rehabilitation counselor will meet with the injured client and discuss the limitations and abilities as they relate to vocational rehabilitation services, examples: evaluation, medical, training, education, assistive technology, tools & licenses, employment and follow-up.","extraContent":null,"urlPath":null,"faqCategory":"rehabilitationDivision","sortOrder":4,"isActive":false},"196":{"id":196,"heading":"How do I obtain a list of the self insured companies and group self insurers?","content":"Please send a written request and a $25 check to Julia Kraft or Preston Williams at the address above.","extraContent":null,"urlPath":null,"faqCategory":"selfInsurance","sortOrder":4,"isActive":false},"203":{"id":203,"heading":"Who do I call about...","content":"For additional contact information, please see our key contacts page.","extraContent":null,"urlPath":null,"faqCategory":"general","sortOrder":4,"isActive":true},"208":{"id":208,"heading":"How do I convert my pleadings to PDF?","content":"Documents that are created using a word processor (Word, WordPerfect, etc) can be converted into Adobe PDF either through the word processor software or through a PDF printer.

  • In most new versions of Word, click File > Save As and choose PDF under the ???Save As Type??? box.

  • In WordPerfect, click File > Publish to PDF.

  • There are multiple PDF printers available on the Internet to download and install. To an application, the PDF Printer looks like a printer and allows the application to write a document as a PDF Document in the same way it would print the document to the printer. When a user prints their document to PDF Printer, rather than sending the file to a laser jet or inkjet printer, the software creates a PDF Document.
","extraContent":null,"urlPath":null,"faqCategory":"atosFAQ","sortOrder":4,"isActive":true},"222":{"id":222,"heading":"What is the current assessment rate?","content":"The 2025 assessment rate is TBA.","extraContent":null,"urlPath":"","faqCategory":"businessOffice","sortOrder":4,"isActive":true},"238":{"id":238,"heading":"Do I file a First Report if the claimant does not lose time but has a disability rating or serious facial disfigurement?","content":"Yes. Any claim involving payment for any type of disability should be filed with the Commission. See the The Mississippi Code, section 71-3-67 (1).","extraContent":null,"urlPath":null,"faqCategory":"claimsDepartment","sortOrder":4,"isActive":true},"243":{"id":243,"heading":"How is a Commission file created?","content":"The Commission file may be set up by the filing of a First Report of Injury Form by the employer or by the filing of a Form B-5,11 by the claimant and/or his or her attorney.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":4,"isActive":true},"266":{"id":266,"heading":"How do I obtain a list of the Self-Insured Companies and Group Self- Insurers within the State of Mississippi","content":"To obtain a list of the self-insured companies or group self-insurers within the State, send a written request along with a check in the amount of $25.00 to:

Mississippi Workers??? Compensation Commission
Self-Insurance Department
Attention: Preston Williams
P.O. Box 5300
Jackson, MS 39296-5300.","extraContent":null,"urlPath":"","faqCategory":"executiveDirector","sortOrder":4,"isActive":true},"278":{"id":278,"heading":"What are the costs for reports?","content":"Standard reports cost $25 to $50, depending on the report. Customized reports start at $50 and go up from that figure, depending on the amount of time involved in creating the report. We reserve the right to decline to provide custom reports if the time investment is too great.","extraContent":null,"urlPath":null,"faqCategory":"informationSystems","sortOrder":4,"isActive":true},"284":{"id":284,"heading":"Who is responsible for the Petition to Controvert and Answers?","content":"Shakira Womble, 601-987-4260. E-mail: swomble@mwcc.ms.gov.","extraContent":null,"urlPath":"","faqCategory":"hearingSection","sortOrder":4,"isActive":true},"302":{"id":302,"heading":"If a service is provided to a claimant out of state, whose rule for reimbursement of records applies? (i.e. If seen in Alabama do we have to pay copy costs for Alabama or do the Mississippi rules apply?)","content":"If a service is provided to a claimant out of state, whose rule for reimbursement of records applies? (i.e. If seen in Alabama do we have to pay copy costs for Alabama or do the Mississippi rules apply?)","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":4,"isActive":true},"342":{"id":342,"heading":"What criteria should be used for editing bundling or unbundling issues?","content":"Both CPT Assistant and NCCI edits can be used. In some instances, these two sources conflict. When there is a conflict the NCCI rule will take precedence.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":4,"isActive":true},"364":{"id":364,"heading":"Are shipping and handling charges reimbursed based on the fee schedule?","content":"The fee schedule allowable include shipping and handling. If shipping and handling is billed separately, then the total reimbursement should not exceed the fee schedule allowable.","extraContent":null,"urlPath":null,"faqCategory":"mfs2013","sortOrder":4,"isActive":true},"376":{"id":376,"heading":"How is the facility reimbursed for 27096?","content":"You will note that there is no allowable for the facility in the fee schedule for 27096. However, there is a facility allowable for G0260. You would be reimbursed that amount which is $833.41.","extraContent":null,"urlPath":null,"faqCategory":"mfs2016","sortOrder":4,"isActive":true},"387":{"id":387,"heading":"What services can I expect from the MS Department of Rehabilitation Services?","content":"After eligibility has been established, the vocational rehabilitation counselor will meet with the injured client and discuss the limitations and abilities as they relate to vocational rehabilitation services, examples: evaluation, medical, training, education, assistive technology, tools & licenses, employment and follow-up.","extraContent":null,"urlPath":null,"faqCategory":"rehabilitationDivision","sortOrder":4,"isActive":true},"392":{"id":392,"heading":"How do I obtain a list of the self insured companies and group self insurers?","content":"Please send a written request and a $25 check to Christy Wadford or Preston Williams at the address above.","extraContent":null,"urlPath":"","faqCategory":"selfInsurance","sortOrder":4,"isActive":true},"406":{"id":406,"heading":"Do the State-specific does for drug testing still apply?","content":"State-specific codes will no longer be used for drug testing. 0430M, presumptive drug testing, is replaced by CPT code 80305-80307. Codes are selected based on method of reading the results. 0431M, definitive drug testing, is replaced by G0480-G0483 and G0659. Codes are selected based on the number of drug classes tested.","extraContent":null,"urlPath":"","faqCategory":"mfs2022","sortOrder":4,"isActive":true},"407":{"id":407,"heading":"Any changes in 2022 Medical Fee Schedule related to Pathology","content":"Guidelines added for pharmacogenomic tests. Assess an individual response to therapy. Predict risk of toxicity from drug treatment.","extraContent":null,"urlPath":"","faqCategory":"mfs2022","sortOrder":4,"isActive":true},"8":{"id":8,"heading":"How do I file a document in ATOS?","content":"A brief PDF tutorial for how to use ATOS is available here.

A short video demonstration of a simple ATOS filing can also be viewed here.","extraContent":null,"urlPath":null,"faqCategory":"atosFAQ","sortOrder":5,"isActive":false},"13":{"id":13,"heading":"How do I file a Petition to Controvert (B-5,11)?","content":"A brief PDF tutorial for how to process this filing is available here.","extraContent":null,"urlPath":null,"faqCategory":"atosFAQ","sortOrder":5,"isActive":false},"27":{"id":27,"heading":"Explain the Second Injury Fund","content":"Please refer to ??71-3-73 of Mississippi Workers' Compensation Law.","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":5,"isActive":false},"48":{"id":48,"heading":"How many copies of a Petition and Order for settlement are required?","content":"An original and two (2) copies of the Order are required unless there are additional attorneys involved in the case and if so there would need to be extra copies for the additional attorney(s); an original Petition is required (if the parties request a filed stamped copy of the Petition, then additional copies should be sent).","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":5,"isActive":false},"71":{"id":71,"heading":"How do I obtain Information concerning filing a Child Support/Workers??? Compensation Benefit Lien?","content":"To place a Child Support lien on a Workers??? Compensation Benefit, send proper documentation (Notice of Child Support Lien, Order for Withholding, Affadavit of Accounting, etc.) to:

Mississippi Workers??? Compensation Commission
Office of the Executive Director
Attention: Julia Kraft
P.O. Box 5300
Jackson, MS 39296-5300.","extraContent":null,"urlPath":null,"faqCategory":"executiveDirector","sortOrder":5,"isActive":false},"83":{"id":83,"heading":"How do I obtain a copy of the Annual Report?","content":"To obtain a copy of the Annual Report, you may call or write to:

MWCC Business Office
PO Box 5300
Jackson, MS 39296-5300
Phone: (601) 987-4285

Please state the report year you are requesting. Quantities may be limited for some years. There is no charge for a copy of the Annual Report.","extraContent":null,"urlPath":null,"faqCategory":"informationSystems","sortOrder":5,"isActive":false},"89":{"id":89,"heading":"Who is responsible for setting Full Commission hearings?","content":"Lee Anne Muncie, 601-987-4258. E-mail: lmuncie@mwcc.state.ms.us.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":5,"isActive":false},"107":{"id":107,"heading":"What is the jurisdiction of the Mississippi Workers Compensation Fee Schedule?","content":"The Fee Schedule is applicable for services provided within the state of Mississippi. It applies to injured workers, whether Mississippi claims or not. If a Mississippi claimant is treated in a neighboring state, then the Fee Schedule of that state is applicable.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":5,"isActive":false},"147":{"id":147,"heading":"What is the percentage reimbursement that should be associated with the use of an assistant surgeon applying modifier 82? A specific reimbursement percentage is set forth in the Fee Schedule with similar modifier explanations, such as modifier 80, 81, and AS; what percentage should be paid to the assistant surgeon under modifier 82?","content":"Both modifiers 80 and 82 describe essentially the same services of an assistant surgeon. Therefore, the services of an assistant surgeon billing under either modifier 80 or modifier 82 should be reimbursed at twenty percent (20%) of the maximum reimbursement allowance.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":5,"isActive":false},"169":{"id":169,"heading":"The current fee schedule states that: \"Reimbursement for a compound cream medication is limited to a maximum total reimbursement of three hundred dollars ($300.00) for one hundred twenty (120) grams per month.??? Does this apply to compounded medications that are prescribed by an out of state provider?","content":"Please refer to page 8 of the fee schedule Section VII, C which states: \"The Mississippi Workers??? Compensation Medical Fee Schedule coding and billing rules must be followed in order for out of state providers to obtain reimbursement.??? Since this rule includes a dollar amount, it therefore applies regardless of the state in which prescribed","extraContent":null,"urlPath":null,"faqCategory":"mfs2013","sortOrder":5,"isActive":false},"181":{"id":181,"heading":"Please explain how and when the use of the microscope is reimbursed?","content":"Please refer to page 87 of the MS Workers' Compensation Fee Schedule. Section I., G. This section lists the procedures when 69990 cannot be billed. If the 69990 is billed with a procedure that is not on this list, then it should be paid at the allowed amount in the fee schedule. Please note that this rule is a variance from CMS rules and is a specific MS WC rule.","extraContent":null,"urlPath":null,"faqCategory":"mfs2016","sortOrder":5,"isActive":false},"197":{"id":197,"heading":"Does Mississippi have a Self Insured Guaranty Association?","content":"Yes, there are actually two guaranty associations. One for the groups and a separate one for the individual companies.","extraContent":null,"urlPath":null,"faqCategory":"selfInsurance","sortOrder":5,"isActive":false},"204":{"id":204,"heading":"How do I file a document in ATOS?","content":"A brief PDF tutorial for how to use ATOS is available here.

A short video demonstration of a simple ATOS filing can also be viewed here.","extraContent":null,"urlPath":"","faqCategory":"atosFAQ","sortOrder":5,"isActive":true},"209":{"id":209,"heading":"How do I file a Petition to Controvert (B-5,11)?","content":"A brief PDF tutorial for how to process this filing is available here.","extraContent":null,"urlPath":null,"faqCategory":"atosFAQ","sortOrder":5,"isActive":true},"223":{"id":223,"heading":"Explain the Second Injury Fund","content":"Please refer to ??71-3-73 of Mississippi Workers' Compensation Law.","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":5,"isActive":true},"244":{"id":244,"heading":"How many copies of a Petition and Order for settlement are required?","content":"An original and two (2) copies of the Order are required unless there are additional attorneys involved in the case and if so there would need to be extra copies for the additional attorney(s); an original Petition is required (if the parties request a filed stamped copy of the Petition, then additional copies should be sent).","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":5,"isActive":true},"267":{"id":267,"heading":"How do I obtain Information concerning filing a Child Support/Workers’ Compensation Benefit Lien?","content":"To place a Child Support lien on a Workers’ Compensation Benefit, send proper documentation (Notice of Child Support Lien, Order for Withholding, Affadavit of Accounting, etc.) to:

Mississippi Workers’ Compensation Commission
Office of the Executive Director
Attention: Christy Wadford
P.O. Box 5300
Jackson, MS 39296-5300.","extraContent":null,"urlPath":"","faqCategory":"executiveDirector","sortOrder":5,"isActive":true},"279":{"id":279,"heading":"How do I obtain a copy of the Annual Report?","content":"To obtain a copy of the Annual Report, visit our annual report page.","extraContent":null,"urlPath":"","faqCategory":"informationSystems","sortOrder":5,"isActive":true},"285":{"id":285,"heading":"Who is responsible for setting Full Commission hearings?","content":"Lee Anne Muncie, 601-987-4258. E-mail: lmuncie@mwcc.state.ms.us.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":5,"isActive":true},"303":{"id":303,"heading":"What is the jurisdiction of the Mississippi Workers Compensation Fee Schedule?","content":"The Fee Schedule is applicable for services provided within the state of Mississippi. It applies to injured workers, whether Mississippi claims or not. If a Mississippi claimant is treated in a neighboring state, then the Fee Schedule of that state is applicable.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":5,"isActive":true},"343":{"id":343,"heading":"What is the percentage reimbursement that should be associated with the use of an assistant surgeon applying modifier 82? A specific reimbursement percentage is set forth in the Fee Schedule with similar modifier explanations, such as modifier 80, 81, and AS; what percentage should be paid to the assistant surgeon under modifier 82?","content":"Both modifiers 80 and 82 describe essentially the same services of an assistant surgeon. Therefore, the services of an assistant surgeon billing under either modifier 80 or modifier 82 should be reimbursed at twenty percent (20%) of the maximum reimbursement allowance.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":5,"isActive":true},"365":{"id":365,"heading":"The current fee schedule states that: \"Reimbursement for a compound cream medication is limited to a maximum total reimbursement of three hundred dollars ($300.00) for one hundred twenty (120) grams per month.??? Does this apply to compounded medications that are prescribed by an out of state provider?","content":"Please refer to page 8 of the fee schedule Section VII, C which states: \"The Mississippi Workers??? Compensation Medical Fee Schedule coding and billing rules must be followed in order for out of state providers to obtain reimbursement.??? Since this rule includes a dollar amount, it therefore applies regardless of the state in which prescribed","extraContent":null,"urlPath":null,"faqCategory":"mfs2013","sortOrder":5,"isActive":true},"377":{"id":377,"heading":"Please explain how and when the use of the microscope is reimbursed?","content":"Please refer to page 87 of the MS Workers' Compensation Fee Schedule. Section I., G. This section lists the procedures when 69990 cannot be billed. If the 69990 is billed with a procedure that is not on this list, then it should be paid at the allowed amount in the fee schedule. Please note that this rule is a variance from CMS rules and is a specific MS WC rule.","extraContent":null,"urlPath":null,"faqCategory":"mfs2016","sortOrder":5,"isActive":true},"393":{"id":393,"heading":"Does Mississippi have a Self Insured Guaranty Association?","content":"Yes, there are actually two guaranty associations. One for the groups and a separate one for the individual companies.","extraContent":null,"urlPath":null,"faqCategory":"selfInsurance","sortOrder":5,"isActive":true},"408":{"id":408,"heading":"Were any sections relocated in the 2022 Medical Fee Schedule?","content":"Yes, speech therapy evaluation for the following services were moved from the Medicine section to the Therapeutic Services section. CPT 92521, “evaluation of speech fluency (stutter clutter).\" CPT 92522, “evaluation of speech sound production articulate.\" CPT 92523, “evaluation of speech sound product language comprehension.\"","extraContent":null,"urlPath":"","faqCategory":"mfs2022","sortOrder":5,"isActive":true},"14":{"id":14,"heading":"How do I file an Attorney Fee Contract or Entry of Appearance in order to be added as a party of record to a claim?","content":"Note: Attorney Fee Contracts are filed by claimants??? attorneys, and Entries of Appearance are filed by defense attorneys.

A brief PDF tutorial for how to process this filing is available here.","extraContent":null,"urlPath":null,"faqCategory":"atosFAQ","sortOrder":6,"isActive":false},"28":{"id":28,"heading":"Who is the contact for the Self-Insurer Guaranty Association?","content":"John Brodbeck - Phone: (601) 924-7815","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":6,"isActive":false},"49":{"id":49,"heading":"What are the signature requirements for settlement documents?","content":"The claimant???s notarized signature must always be included with any settlement documents being submitted to the Commission for approval, whether the claimant is represented by counsel or not. If represented, the claimant???s attorney must also include their signature and other information required of attorneys by Procedural Rule 20. All other parties to the settlement must be represented by a licensed MS attorney, and their signatures must be included as well. Procedural Rule 20 states: ???Any document or pleading prepared by an attorney for a party shall contain the typed or printed name, official Mississippi Bar identification number, and address and telephone number of the attorney.???

NOTE: A proposed change to Procedural Rule 20 currently on file with the Secretary of State, and expected to be adopted effective August 15, 2011 will also require the attorney???s facsimile number and email address to be included with their signature as well.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":6,"isActive":false},"72":{"id":72,"heading":"How do I obtain information concerning the Drug Free Workplace Workers??? Compensation Premium Reduction Act?","content":"For questions concerning The Drug Free Workplace Workers??? Compensation Premium Reduction Act, visit the Law & Claims page of our website.","extraContent":null,"urlPath":null,"faqCategory":"executiveDirector","sortOrder":6,"isActive":false},"90":{"id":90,"heading":"Who are the Administrative Judges?","content":"A listing of our judges can be found on our judges page.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":6,"isActive":false},"108":{"id":108,"heading":"If a procedure is not listed in the Fee Schedule, what is the reimbursement rate?","content":"A procedure code that is not listed in the Fee Schedule should be reimbursed at the usual and customary rate.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":6,"isActive":false},"148":{"id":148,"heading":"Effective January 1, 2011, CMS as well as the AMA adopted two new CPT codes, 22551 and 22552. Code 22551 replaces codes 63075 and 22554, when used together. Code 22552 replaces codes 63076 and 22585, when used together. What is the correct facility reimbursement rate for these two new neurosurgical codes?","content":"The facility reimbursement rate (APC Amount) for CPT 22551 is $4,488.88. The facility reimbursement rate (APC Amount) for 22552 is, likewise, $4,488.88. Since the Commission has not yet elected to specifically price these two codes in accordance with the relative weighting assigned by CMS, we have elected instead to assign an APC Amount which is based on the current APC Amount for CPT Codes 63075 and 63076 (the two higher valued codes which have been replaced with 22551 and 22552). This APC Amount shall apply until further notice.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":6,"isActive":false},"170":{"id":170,"heading":"The current fee schedule states that: \"The only codes reimbursed by workers??? compensation for drug screens other than Post-Accident are G0431 and G0435.??? Does this apply to drug screens drawn in other states?","content":"Please refer to page 8 of the fee schedule Section VII, C which states: \"The Mississippi Workers??? Compensation Medical Fee Schedule coding and billing rules must be followed in order for out of state providers to obtain reimbursement.\" Therefore, drug screens done in another state should also be reimbursed using the G0431 to G0435 global drug screen codes, and the amount reimbursed should be the amount in that states fee schedule, and or the other options if no amount is available.","extraContent":null,"urlPath":null,"faqCategory":"mfs2013","sortOrder":6,"isActive":false},"182":{"id":182,"heading":"There are three new codes for 2017 (22853, 22854, and 22859) that are not posted on the MWCC website info for the new codes. How are they to be reimbursed?","content":"When these codes are encountered, they should be reimbursed at the current fee schedule value for 22851. For the facility it is already included in the J1 status codes for the procedure. For the physician these are paid at $1218.90.","extraContent":null,"urlPath":null,"faqCategory":"mfs2016","sortOrder":6,"isActive":false},"198":{"id":198,"heading":"What is the assessment rate for self insured companies in Mississippi?","content":"The assessment rate for 2011 is 1.55. This year, for the first time since 2005, there was an additional assessement of the individual self insured companies of Mississippi. The rate for this assessment was 2% and goes into the Individual Guaranty Fund. The fund only requires an assessment when its balance falls below $1 million, which was the situation this year.","extraContent":null,"urlPath":null,"faqCategory":"selfInsurance","sortOrder":6,"isActive":false},"210":{"id":210,"heading":"How do I file an Attorney Fee Contract or Entry of Appearance in order to be added as a party of record to a claim?","content":"Note: Attorney Fee Contracts are filed by claimants??? attorneys, and Entries of Appearance are filed by defense attorneys.

A brief PDF tutorial for how to process this filing is available here.","extraContent":null,"urlPath":null,"faqCategory":"atosFAQ","sortOrder":6,"isActive":true},"224":{"id":224,"heading":"Who is the contact for the Self-Insurer Guaranty Association?","content":"John Brodbeck - Phone: (601) 924-7815","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":6,"isActive":true},"245":{"id":245,"heading":"What are the signature requirements for settlement documents?","content":"The claimant???s notarized signature must always be included with any settlement documents being submitted to the Commission for approval, whether the claimant is represented by counsel or not. If represented, the claimant???s attorney must also include their signature and other information required of attorneys by Procedural Rule 20. All other parties to the settlement must be represented by a licensed MS attorney, and their signatures must be included as well. Procedural Rule 20 states: ???Any document or pleading prepared by an attorney for a party shall contain the typed or printed name, official Mississippi Bar identification number, and address and telephone number of the attorney.???

NOTE: A proposed change to Procedural Rule 20 currently on file with the Secretary of State, and expected to be adopted effective August 15, 2011 will also require the attorney???s facsimile number and email address to be included with their signature as well.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":6,"isActive":true},"268":{"id":268,"heading":"How do I obtain information concerning the Drug Free Workplace Workers??? Compensation Premium Reduction Act?","content":"For questions concerning The Drug Free Workplace Workers??? Compensation Premium Reduction Act, visit the Law & Claims page of our website.","extraContent":null,"urlPath":"","faqCategory":"executiveDirector","sortOrder":6,"isActive":true},"286":{"id":286,"heading":"Who are the Administrative Judges?","content":"A listing of our judges can be found on our judges page.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":6,"isActive":true},"304":{"id":304,"heading":"If a procedure is not listed in the Fee Schedule, what is the reimbursement rate?","content":"A procedure code that is not listed in the Fee Schedule should be reimbursed at the usual and customary rate.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":6,"isActive":true},"344":{"id":344,"heading":"Effective January 1, 2011, CMS as well as the AMA adopted two new CPT codes, 22551 and 22552. Code 22551 replaces codes 63075 and 22554, when used together. Code 22552 replaces codes 63076 and 22585, when used together. What is the correct facility reimbursement rate for these two new neurosurgical codes?","content":"The facility reimbursement rate (APC Amount) for CPT 22551 is $4,488.88. The facility reimbursement rate (APC Amount) for 22552 is, likewise, $4,488.88. Since the Commission has not yet elected to specifically price these two codes in accordance with the relative weighting assigned by CMS, we have elected instead to assign an APC Amount which is based on the current APC Amount for CPT Codes 63075 and 63076 (the two higher valued codes which have been replaced with 22551 and 22552). This APC Amount shall apply until further notice.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":6,"isActive":true},"366":{"id":366,"heading":"The current fee schedule states that: \"The only codes reimbursed by workers??? compensation for drug screens other than Post-Accident are G0431 and G0435.??? Does this apply to drug screens drawn in other states?","content":"Please refer to page 8 of the fee schedule Section VII, C which states: \"The Mississippi Workers??? Compensation Medical Fee Schedule coding and billing rules must be followed in order for out of state providers to obtain reimbursement.\" Therefore, drug screens done in another state should also be reimbursed using the G0431 to G0435 global drug screen codes, and the amount reimbursed should be the amount in that states fee schedule, and or the other options if no amount is available.","extraContent":null,"urlPath":null,"faqCategory":"mfs2013","sortOrder":6,"isActive":true},"378":{"id":378,"heading":"There are three new codes for 2017 (22853, 22854, and 22859) that are not posted on the MWCC website info for the new codes. How are they to be reimbursed?","content":"When these codes are encountered, they should be reimbursed at the current fee schedule value for 22851. For the facility it is already included in the J1 status codes for the procedure. For the physician these are paid at $1218.90.","extraContent":null,"urlPath":null,"faqCategory":"mfs2016","sortOrder":6,"isActive":true},"394":{"id":394,"heading":"What is the assessment rate for self insured companies in Mississippi?","content":"The 2025 assessment rate is TBA.","extraContent":null,"urlPath":"","faqCategory":"selfInsurance","sortOrder":6,"isActive":true},"15":{"id":15,"heading":"What is the Pending and Processed document information that is displayed on the ATOS dashboard?","content":"A brief PDF tutorial describing the ATOS dashboard is available here.

A sample screenshot of the ATOS dashboard can be viewed here.","extraContent":null,"urlPath":null,"faqCategory":"atosFAQ","sortOrder":7,"isActive":false},"29":{"id":29,"heading":"Who is the contact for the Assigned Risk Pool?","content":"Mississippi Compensation Services - Phone: (601) 977-9456 or www.msplan.com","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":7,"isActive":false},"50":{"id":50,"heading":"Who receives a copy of Commission Orders?","content":"Copies of Orders are mailed to attorneys of record for both parties, and to any non-represented party. Dismissal Orders are also mailed to the claimant.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":7,"isActive":false},"73":{"id":73,"heading":"To whom can I report Workers??? Compensation Fraud?","content":"For questions concerning Fraud, contact the Attorney General Office.","extraContent":null,"urlPath":null,"faqCategory":"executiveDirector","sortOrder":7,"isActive":false},"91":{"id":91,"heading":"What is the motion day schedule?","content":"Motion Day Schedule

2026-2027

Motion Day will start at 10:00a according to the following schedule:

DAY OF MONTHCITYADMINISTRATIVE JUDGE
First MondayJacksonWilson/Goodman
First TuesdayGreenwoodDixon/Harthcock
""MeridianLott/Arnold
Second MondayJacksonLott/Arnold
Second TuesdayStarkvilleWilson/Goodman
""GulfportThompson/Mounger
Third MondayJacksonThompson/Mounger
Third TuesdayOxfordDixon/Harthcock
""HattiesburgLott/Arnold
Fourth MondayJacksonDixon/Harthcock
Fourth TuesdayNatchezThompson/Mounger
""PascagoulaLott/Arnold
""TupeloWilson/Goodman
","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":7,"isActive":false},"109":{"id":109,"heading":"Are medical records required for reimbursement of medical charges?","content":"Yes, employers/payers need medical records for review of diagnosis and applicability to the workers compensation claim.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":7,"isActive":false},"149":{"id":149,"heading":"Are implants still billed and paid separately by invoice for all outpatient billings? It looks like reimbursement for implants is already included in the APC Amounts listed in the Schedule. If we pay the APC Amount and the provider submits an invoice for implant reimbursements, how do we reimburse for this?","content":"Unfortunately, we have discovered that our vendor, despite instructions to the contrary, did not exclude the implant amount before publishing the final APC Amounts. Therefore, in order to avoid paying twice for the same implant, you should first reduce the applicable APC Amount to take out the implant cost. The amount of this reduction is based on the current year's device offset percentage for each APC, as established by CMS. This means you will use the CMS device offset table in effect at the time service was rendered. Go back to the main page for the 2010 Fee Schedule and look under the ???General Information??? heading. There you will find the device offset percentage tables for CY 2010, CY 2011 and CY 2012. For other years, check the CMS website. These tables may not always be found in the same place, but currently they can be found at https://www.cms.gov/hospitaloutpatientpps/","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":7,"isActive":false},"171":{"id":171,"heading":"When an SI joint injection is done for pain management, how is the facility reimbursed?","content":"The facility reimbursement for 27096 is the same as G0260, $729.86.","extraContent":null,"urlPath":null,"faqCategory":"mfs2013","sortOrder":7,"isActive":false},"183":{"id":183,"heading":"What reimbursement will be required when the facility bills for a procedure that has a J1 Status marker?","content":"The amount/allowable for a J1 procedure in the APC column is all inclusive. When a J1 code is billed, that allowance is all inclusive and no other reimbursement is applicable on that entire claim. Please note that J1 status codes apply to facility reimbursement and are not applicable for physician reimbursement.","extraContent":null,"urlPath":null,"faqCategory":"mfs2016","sortOrder":7,"isActive":false},"211":{"id":211,"heading":"What is the Pending and Processed document information that is displayed on the ATOS dashboard?","content":"A brief PDF tutorial describing the ATOS dashboard is available here.

A sample screenshot of the ATOS dashboard can be viewed here.","extraContent":null,"urlPath":null,"faqCategory":"atosFAQ","sortOrder":7,"isActive":true},"225":{"id":225,"heading":"Who is the contact for the Assigned Risk Pool?","content":"Mississippi Compensation Services - Phone: (601) 977-9456 or www.msplan.com","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":7,"isActive":true},"246":{"id":246,"heading":"Who receives a copy of Commission Orders?","content":"Copies of Orders are mailed to attorneys of record for both parties, and to any non-represented party. Dismissal Orders are also mailed to the claimant.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":7,"isActive":true},"269":{"id":269,"heading":"To whom can I report Workers??? Compensation Fraud?","content":"For questions concerning Fraud, contact the Attorney General Office.","extraContent":null,"urlPath":"","faqCategory":"executiveDirector","sortOrder":7,"isActive":true},"287":{"id":287,"heading":"What is the motion day schedule?","content":"Motion Day Schedule

2026-2027

Motion Day will start at 10:00a according to the following schedule:

DAY OF MONTHCITYADMINISTRATIVE JUDGE
First MondayJacksonGarrott/Goodman
First TuesdayGreenwoodSaucier/Harthcock
""MeridianLee/Arnold
Second MondayJacksonLee/Arnold
Second TuesdayStarkvilleGarrott/Goodman
""GulfportOrr/Nicaud
Third MondayJacksonOrr/Nicaud
Third TuesdayOxfordSaucier/Harthcock
""HattiesburgLee/Arnold
Fourth MondayJacksonSaucier/Harthcock
Fourth TuesdayNatchezOrr/Nicaud
""PascagoulaLott/Arnold
""TupeloGarrott/Goodman
","extraContent":null,"urlPath":"","faqCategory":"hearingSection","sortOrder":7,"isActive":true},"305":{"id":305,"heading":"Are medical records required for reimbursement of medical charges?","content":"Yes, employers/payers need medical records for review of diagnosis and applicability to the workers compensation claim.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":7,"isActive":true},"345":{"id":345,"heading":"Are implants still billed and paid separately by invoice for all outpatient billings? It looks like reimbursement for implants is already included in the APC Amounts listed in the Schedule. If we pay the APC Amount and the provider submits an invoice for implant reimbursements, how do we reimburse for this?","content":"Unfortunately, we have discovered that our vendor, despite instructions to the contrary, did not exclude the implant amount before publishing the final APC Amounts. Therefore, in order to avoid paying twice for the same implant, you should first reduce the applicable APC Amount to take out the implant cost. The amount of this reduction is based on the current year's device offset percentage for each APC, as established by CMS. This means you will use the CMS device offset table in effect at the time service was rendered. Go back to the main page for the 2010 Fee Schedule and look under the ???General Information??? heading. There you will find the device offset percentage tables for CY 2010, CY 2011 and CY 2012. For other years, check the CMS website. These tables may not always be found in the same place, but currently they can be found at https://www.cms.gov/hospitaloutpatientpps/","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":7,"isActive":true},"367":{"id":367,"heading":"When an SI joint injection is done for pain management, how is the facility reimbursed?","content":"The facility reimbursement for 27096 is the same as G0260, $729.86.","extraContent":null,"urlPath":null,"faqCategory":"mfs2013","sortOrder":7,"isActive":true},"379":{"id":379,"heading":"What reimbursement will be required when the facility bills for a procedure that has a J1 Status marker?","content":"The amount/allowable for a J1 procedure in the APC column is all inclusive. When a J1 code is billed, that allowance is all inclusive and no other reimbursement is applicable on that entire claim. Please note that J1 status codes apply to facility reimbursement and are not applicable for physician reimbursement.","extraContent":null,"urlPath":null,"faqCategory":"mfs2016","sortOrder":7,"isActive":true},"16":{"id":16,"heading":"How do I update my profile or email information?","content":"The profile information can be updated after logging into ATOS or when viewing the MWCC website. Either of these methods will update your MWCC profile, so you do not have to update your profile in both places.

After logging into ATOS you can select the Gear icon at the top right of the page to view and update your profile.

After logging into the website, the profile update page is available by selecting \"Profile Management\" from the \"Services\" dropdown menu.","extraContent":null,"urlPath":null,"faqCategory":"atosFAQ","sortOrder":8,"isActive":false},"30":{"id":30,"heading":"Who is the contact for questions regarding copies of claimant files that have been requested?","content":"Mail Room - Phone: (601) 987-4297","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":8,"isActive":false},"51":{"id":51,"heading":"Does a Form B-31 have to be submitted if a case is dismissed?","content":"Yes, if any compensation benefits were ever paid on the claim.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":8,"isActive":false},"74":{"id":74,"heading":"How do I obtain a Copy of the Workers??? Compensation Law of Mississippi and Rules of the Commission?","content":"To obtain a copy of the Law Book you may call: Lexis Publishing Company
You may also search the Mississippi Code at the The Mississippi Statute page of the Secretary of State's website.","extraContent":null,"urlPath":null,"faqCategory":"executiveDirector","sortOrder":8,"isActive":false},"92":{"id":92,"heading":"Is there a map available that shows the hearing locations and Administrative Judge territories?","content":"Yes, click HERE to see the map.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":8,"isActive":false},"110":{"id":110,"heading":"Is there a dental fee schedule?","content":"No, there is no dental fee schedule in Mississippi. The reimbursement for dental services should be at the usual and customary rate.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":8,"isActive":false},"150":{"id":150,"heading":"My request for an epidural injection was denied because the physician reviewer said the patient did not \"meet ODG guidelines\" for an epidural injection. Does the Mississippi Workers' Compensation Fee schedule use the ODG guidelines as a means of determining appropriateness of treatment?","content":"NO. In fact, the 2010 Fee Schedule update specifically precludes the use of ODG (or any other extraneous guidelines) as the sole means of determining appropriateness of care. The criteria for the use of epidural injections, and many other pain management procedures, are included, and have been updated, in the Pain Management section of the 2010 fee schedule.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":8,"isActive":false},"172":{"id":172,"heading":"Do multiple procedure rules apply to the pain management section?","content":"Some APC pain management allowances have already been reduced and should not be paid at 50%. Those codes are: 64480, 64484, 64491, 64492, 64494, 64495, 64634, 64636. Multiple procedure facility rules apply to all other codes and when more than one type of procedure is done.","extraContent":null,"urlPath":null,"faqCategory":"mfs2013","sortOrder":8,"isActive":false},"184":{"id":184,"heading":"Are multiple/bilateral procedures for pain management paid at 25% or 50%?","content":"We are aware that this is confusing. There is conflicting information in the fee schedule. On page 73 it says 50% and on page 74 it says 25% for bilateral. Because of the discrepancyCost Containment has made the determination that they will be paid at 50% where applicable.","extraContent":null,"urlPath":null,"faqCategory":"mfs2016","sortOrder":8,"isActive":false},"212":{"id":212,"heading":"How do I update my profile or email information?","content":"The profile information can be updated after logging into ATOS or when viewing the MWCC website. Either of these methods will update your MWCC profile, so you do not have to update your profile in both places.

After logging into ATOS you can select the Gear icon at the top right of the page to view and update your profile.

After logging into the website, the profile update page is available by selecting \"Profile Management\" from the \"Services\" dropdown menu.","extraContent":null,"urlPath":null,"faqCategory":"atosFAQ","sortOrder":8,"isActive":true},"226":{"id":226,"heading":"Who is the contact for questions regarding copies of claimant files that have been requested?","content":"Mail Room - Phone: (601) 987-4297","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":8,"isActive":true},"247":{"id":247,"heading":"Does a Form B-31 have to be submitted if a case is dismissed?","content":"Yes, if any compensation benefits were ever paid on the claim.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":8,"isActive":true},"270":{"id":270,"heading":"How do I obtain a Copy of the Workers??? Compensation Law of Mississippi and Rules of the Commission?","content":"To obtain a copy of the Law Book you may call: Lexis Publishing Company
You may also search the Mississippi Code at the The Mississippi Statute page of the Secretary of State's website.","extraContent":null,"urlPath":"","faqCategory":"executiveDirector","sortOrder":8,"isActive":true},"288":{"id":288,"heading":"Is there a map available that shows the hearing locations and Administrative Judge territories?","content":"Yes, click HERE to see the map.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":8,"isActive":true},"306":{"id":306,"heading":"Is there a dental fee schedule?","content":"No, there is no dental fee schedule in Mississippi. The reimbursement for dental services should be at the usual and customary rate.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":8,"isActive":true},"346":{"id":346,"heading":"My request for an epidural injection was denied because the physician reviewer said the patient did not \"meet ODG guidelines\" for an epidural injection. Does the Mississippi Workers' Compensation Fee schedule use the ODG guidelines as a means of determining appropriateness of treatment?","content":"NO. In fact, the 2010 Fee Schedule update specifically precludes the use of ODG (or any other extraneous guidelines) as the sole means of determining appropriateness of care. The criteria for the use of epidural injections, and many other pain management procedures, are included, and have been updated, in the Pain Management section of the 2010 fee schedule.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":8,"isActive":true},"368":{"id":368,"heading":"Do multiple procedure rules apply to the pain management section?","content":"Some APC pain management allowances have already been reduced and should not be paid at 50%. Those codes are: 64480, 64484, 64491, 64492, 64494, 64495, 64634, 64636. Multiple procedure facility rules apply to all other codes and when more than one type of procedure is done.","extraContent":null,"urlPath":null,"faqCategory":"mfs2013","sortOrder":8,"isActive":true},"380":{"id":380,"heading":"Are multiple/bilateral procedures for pain management paid at 25% or 50%?","content":"We are aware that this is confusing. There is conflicting information in the fee schedule. On page 73 it says 50% and on page 74 it says 25% for bilateral. Because of the discrepancyCost Containment has made the determination that they will be paid at 50% where applicable.","extraContent":null,"urlPath":null,"faqCategory":"mfs2016","sortOrder":8,"isActive":true},"17":{"id":17,"heading":"Which document types can be filed in ATOS?","content":"A printable list of document types can be obtained here.","extraContent":null,"urlPath":null,"faqCategory":"atosFAQ","sortOrder":9,"isActive":false},"31":{"id":31,"heading":"Who is the contact for questions regarding payment of copy fee charges or assessment invoices?","content":"Inez Hankins - Phone: (601) 987-4285","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":9,"isActive":false},"52":{"id":52,"heading":"Does a Form B-31 have to be submitted every time additional medical is paid on a claim?","content":"If additional medical is paid on a compensable claim, after a B-31 has been previously filed, a new B-31 should be filed reflecting these additional payments.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":9,"isActive":false},"75":{"id":75,"heading":"How do I obtain a copy of the Annual Report?","content":"To obtain a copy of the Annual Report, visit our annual report page.","extraContent":null,"urlPath":null,"faqCategory":"executiveDirector","sortOrder":9,"isActive":false},"93":{"id":93,"heading":"How long is the discovery period?","content":"The discovery period is 120 days long, beginning when the case is assigned to an administrative judge, ordinarily right after the employer/carrier files an answer.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":9,"isActive":false},"111":{"id":111,"heading":"Can the reimbursement for medical services be reduced lower than the Fee Schedule amount?","content":"Yes, if an employer/payer has a contractual agreement with a provider designed to reduce the cost of workers compensation health services, the contractual agreement shall be exempt from the fee schedule.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":9,"isActive":false},"151":{"id":151,"heading":"I performed an epidural steroid injection on a patient, but when I requested a second injection, it was denied because the patient didn't have an EMG. Are EMGs required for repeat epidural injections? How do I get this pre-certified?","content":"If an epidural injection has been approved, repeat epidural injections for the same pain in the same patient do not require prior approval, as long as you have documented some benefit after the first procedure. Your records must clearly reflect that you feel there was at least a partial response to the prior injection, but insurance carrier authorization for repeat injections is not otherwise required. If you fail to document in the records any response to the injection, your claim may be denied.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":9,"isActive":false},"173":{"id":173,"heading":"The fee schedule states that implants are included in the APC amount for outpatient surgery and not paid separately. Does this change the formula for the outlier calculation?","content":"No. There is no separate reimbursement for implants in the outpatient setting, as these amounts are calculated into the APC amount reimbursement. On page 558, Section III, E., both Step 2???s should read ???Deduct implantable cost.??? (The words ???as it is paid separately??? were to have been deleted.) The formula itself is correct.","extraContent":null,"urlPath":null,"faqCategory":"mfs2013","sortOrder":9,"isActive":false},"185":{"id":185,"heading":"What NDC numbers should be used when calculating the allowable for Duexis and Vimovo?","content":"Deuxis (combination of 800mg Ibuprofen and 26.6mg Famotidine)

Ibuprofen - NDC#: 42291-0339-15 ($.544 per pill)
Famotidine - NDC#: 61442-0121-10 ($2.08 per pill)

Vimovo (combination of 375 or 500mg Naproxen and 20mg Esomeprazole)

Naproxen 375mg - NDC#: 68462-0189-01 ($1.06 per pill)
Naproxen 500mg - NDC#: 76282-0342-05 ($1.18 per pill)
Esomeprazole 20mg - NDC#: 00378-2350-93 ($9.02 per pill)","extraContent":null,"urlPath":null,"faqCategory":"mfs2016","sortOrder":9,"isActive":false},"213":{"id":213,"heading":"Which document types can be filed in ATOS?","content":"A printable list of document types can be obtained here.","extraContent":null,"urlPath":null,"faqCategory":"atosFAQ","sortOrder":9,"isActive":true},"227":{"id":227,"heading":"Who is the contact for questions regarding payment of copy fee charges or assessment invoices?","content":"Inez Hankins - Phone: (601) 987-4285","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":9,"isActive":true},"248":{"id":248,"heading":"Does a Form B-31 have to be submitted every time additional medical is paid on a claim?","content":"If additional medical is paid on a compensable claim, after a B-31 has been previously filed, a new B-31 should be filed reflecting these additional payments.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":9,"isActive":true},"271":{"id":271,"heading":"How do I obtain a copy of the Annual Report?","content":"To obtain a copy of the Annual Report, visit our annual report page.","extraContent":null,"urlPath":"","faqCategory":"executiveDirector","sortOrder":9,"isActive":true},"289":{"id":289,"heading":"How long is the discovery period?","content":"The discovery period is 120 days long, beginning when the case is assigned to an administrative judge, ordinarily right after the employer/carrier files an answer.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":9,"isActive":true},"307":{"id":307,"heading":"Can the reimbursement for medical services be reduced lower than the Fee Schedule amount?","content":"Yes, if an employer/payer has a contractual agreement with a provider designed to reduce the cost of workers compensation health services, the contractual agreement shall be exempt from the fee schedule.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":9,"isActive":true},"347":{"id":347,"heading":"I performed an epidural steroid injection on a patient, but when I requested a second injection, it was denied because the patient didn't have an EMG. Are EMGs required for repeat epidural injections? How do I get this pre-certified?","content":"If an epidural injection has been approved, repeat epidural injections for the same pain in the same patient do not require prior approval, as long as you have documented some benefit after the first procedure. Your records must clearly reflect that you feel there was at least a partial response to the prior injection, but insurance carrier authorization for repeat injections is not otherwise required. If you fail to document in the records any response to the injection, your claim may be denied.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":9,"isActive":true},"369":{"id":369,"heading":"The fee schedule states that implants are included in the APC amount for outpatient surgery and not paid separately. Does this change the formula for the outlier calculation?","content":"No. There is no separate reimbursement for implants in the outpatient setting, as these amounts are calculated into the APC amount reimbursement. On page 558, Section III, E., both Step 2???s should read ???Deduct implantable cost.??? (The words ???as it is paid separately??? were to have been deleted.) The formula itself is correct.","extraContent":null,"urlPath":null,"faqCategory":"mfs2013","sortOrder":9,"isActive":true},"381":{"id":381,"heading":"What NDC numbers should be used when calculating the allowable for Duexis and Vimovo?","content":"Deuxis (combination of 800mg Ibuprofen and 26.6mg Famotidine)

Ibuprofen - NDC#: 42291-0339-15 ($.544 per pill)
Famotidine - NDC#: 61442-0121-10 ($2.08 per pill)

Vimovo (combination of 375 or 500mg Naproxen and 20mg Esomeprazole)

Naproxen 375mg - NDC#: 68462-0189-01 ($1.06 per pill)
Naproxen 500mg - NDC#: 76282-0342-05 ($1.18 per pill)
Esomeprazole 20mg - NDC#: 00378-2350-93 ($9.02 per pill)","extraContent":null,"urlPath":null,"faqCategory":"mfs2016","sortOrder":9,"isActive":true},"18":{"id":18,"heading":"Can I upload ATOS documents from a USB flash drive?","content":"Yes, but all of the documents must exist on the same USB drive. If you change USB flash drives while in the process of creating a filing in ATOS - the documents will not upload and you will receive an error.","extraContent":null,"urlPath":null,"faqCategory":"atosFAQ","sortOrder":10,"isActive":false},"32":{"id":32,"heading":"Who are the contacts for questions regarding payment of vendor invoices?","content":"
  • Michelle Bumpus - Phone: (601) 987-4289
  • Inez Hankins - Phone: (601) 987-4285
","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":10,"isActive":false},"53":{"id":53,"heading":"When does the statute of limitations run on a claim?","content":"The statute of limitations for reopening a case runs one year following the correct filing of a Form B-31 or one year after rejection of a claim. The statute of limitations for filing a claim runs two (2) years following the date of injury if no compensation is paid, or no Petition to Controvert is filed.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":10,"isActive":false},"76":{"id":76,"heading":"How can I find out about the status of my claim?","content":"For information about how to file a claim or the status of a current claim, call a Claims Representative.","extraContent":null,"urlPath":null,"faqCategory":"executiveDirector","sortOrder":10,"isActive":false},"94":{"id":94,"heading":"Can the discovery period be extended?","content":"The discovery period can be extended if there is good cause set forth in a written request for an extension. Discovery extensions will not be granted in response to a telephoned request.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":10,"isActive":false},"112":{"id":112,"heading":"Can medical payments be made on controverted/litigated claims?","content":"Yes, reimbursement for medical charges may be made on controverted claims. However, the employer/payer may suspend payments of indemnity and/or medical pending a decision by an administrative judge.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":10,"isActive":false},"152":{"id":152,"heading":"So I don't need prior approval for epidural injections?","content":"You DO need prior approval to initiate a trial of epidural injections. However, once an epidural injection has been improved, you do NOT need approval for repeat procedures (up to 3 total injections) if you document a positive response to the previous injection. This documentation can be in the form of a lower pain score, improvement in exam findings, or even a notation in the chart that the patient is \"better\", but this positive response information must be in the medical records. These records should be submitted to the insurance company if requested, but do not have to be available on the day of the procedure. This is intended to avoid having a patient who has traveled (often) for long distances, and has brought a driver who has taken off work, from having to reschedule for a procedure that does not need prior authorization. The MWCC recognizes that records often have to be dictated and transcribed, and that this process may take days, so while documentation is required, it does not have to be available at the time of the procedure. Again, this is intended to prevent unnecessary loss of time (and often money) to both the patient and the insurance carrier.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":10,"isActive":false},"174":{"id":174,"heading":"Out-patient surgery says that the pre-op is not separately reimbursable. What if the pre-op tests are done at a different facility than the surgical procedure?","content":"The pre-op is not separately reimbursable regardless of where it is done. If a surgical facility chooses to have another provider perform pre-op testing, that arrangement/payment would be between those two entities.","extraContent":null,"urlPath":null,"faqCategory":"mfs2013","sortOrder":10,"isActive":false},"214":{"id":214,"heading":"Can I upload ATOS documents from a USB flash drive?","content":"Yes, but all of the documents must exist on the same USB drive. If you change USB flash drives while in the process of creating a filing in ATOS - the documents will not upload and you will receive an error.","extraContent":null,"urlPath":null,"faqCategory":"atosFAQ","sortOrder":10,"isActive":true},"228":{"id":228,"heading":"Who are the contacts for questions regarding payment of vendor invoices?","content":"
  • Mary Brodersen - Phone: (601) 987-4289
","extraContent":null,"urlPath":"","faqCategory":"businessOffice","sortOrder":10,"isActive":true},"249":{"id":249,"heading":"When does the statute of limitations run on a claim?","content":"The statute of limitations for reopening a case runs one year following the correct filing of a Form B-31 or one year after rejection of a claim. The statute of limitations for filing a claim runs two (2) years following the date of injury if no compensation is paid, or no Petition to Controvert is filed.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":10,"isActive":true},"272":{"id":272,"heading":"How can I find out about the status of my claim?","content":"For information about how to file a claim or the status of a current claim, call a Claims Representative.","extraContent":null,"urlPath":"","faqCategory":"executiveDirector","sortOrder":10,"isActive":true},"290":{"id":290,"heading":"Can the discovery period be extended?","content":"The discovery period can be extended if there is good cause set forth in a written request for an extension. Discovery extensions will not be granted in response to a telephoned request.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":10,"isActive":true},"308":{"id":308,"heading":"Can medical payments be made on controverted/litigated claims?","content":"Yes, reimbursement for medical charges may be made on controverted claims. However, the employer/payer may suspend payments of indemnity and/or medical pending a decision by an administrative judge.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":10,"isActive":true},"348":{"id":348,"heading":"So I don't need prior approval for epidural injections?","content":"You DO need prior approval to initiate a trial of epidural injections. However, once an epidural injection has been improved, you do NOT need approval for repeat procedures (up to 3 total injections) if you document a positive response to the previous injection. This documentation can be in the form of a lower pain score, improvement in exam findings, or even a notation in the chart that the patient is \"better\", but this positive response information must be in the medical records. These records should be submitted to the insurance company if requested, but do not have to be available on the day of the procedure. This is intended to avoid having a patient who has traveled (often) for long distances, and has brought a driver who has taken off work, from having to reschedule for a procedure that does not need prior authorization. The MWCC recognizes that records often have to be dictated and transcribed, and that this process may take days, so while documentation is required, it does not have to be available at the time of the procedure. Again, this is intended to prevent unnecessary loss of time (and often money) to both the patient and the insurance carrier.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":10,"isActive":true},"370":{"id":370,"heading":"Out-patient surgery says that the pre-op is not separately reimbursable. What if the pre-op tests are done at a different facility than the surgical procedure?","content":"The pre-op is not separately reimbursable regardless of where it is done. If a surgical facility chooses to have another provider perform pre-op testing, that arrangement/payment would be between those two entities.","extraContent":null,"urlPath":null,"faqCategory":"mfs2013","sortOrder":10,"isActive":true},"19":{"id":19,"heading":"What file formats are accepted in ATOS?","content":"Only PDF's are accepted. If they are scanned documents, they should be scanned in as monochrome or black and white with a DPI of 300.

Please scan documents in portrait orientation, not landscape.","extraContent":null,"urlPath":null,"faqCategory":"atosFAQ","sortOrder":11,"isActive":false},"33":{"id":33,"heading":"Who is the contact regarding nonpayment of a worker's compensation claim?","content":"Regarding non-payment of claims, contact a Claims Representative","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":11,"isActive":false},"54":{"id":54,"heading":"When should a Form B-31 be filed?","content":"When the employer/carrier are reasonably sure that all compensation and medical benefits have been paid.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":11,"isActive":false},"77":{"id":77,"heading":"How do I file a Workers??? Compensation Claim?","content":"For information about how to file a claim or the status of a current claim, call a Claims Representative.","extraContent":null,"urlPath":null,"faqCategory":"executiveDirector","sortOrder":11,"isActive":false},"95":{"id":95,"heading":"How many copies of pleadings should be filed?","content":"The petition to controvert (Form B-5, 11) must be filed in triplicate (three copies), but only one copy of motions and correspondence should be filed. Please do not send an extra copy to the administrative judge, as the administrative judges use only the official MWCC files maintained in the docket room.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":11,"isActive":false},"113":{"id":113,"heading":"What is the penalty for untimely filing of medical charges or untimely payment of medical charges?","content":"It is ten percent (10%) per 30-day period.

HCFA-1500 form and documentation must be filed within 20 days for a newly diagnosed work-related injury or injury; and within 30 days for subsequent billings. Otherwise, the bill may be reduced by 10% for each 30-day period for late billing.

Likewise, payment of properly submitted, documented, bills should be made with 30 days of receipt. If no payment is made within 60 days, then a payer may be subject to penalties not to exceed 10% for each 30-day period after 60 days.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":11,"isActive":false},"153":{"id":153,"heading":"My first epidural injection was approved, but when I did a second one because the patient was better, the insurance carrier refused to pay because I didn't get prior-approval. What should I do?","content":"Most likely, your insurance carrier is not aware of the 2010 MWCC Medical Fee Schedule changes regarding epidural injections. Effective July 1, 2010, you must have documented partial relief with the first injection, though not necessarily prior to the repeat injection as discussed in an earlier FAQ. Assuming you did so, you should initially inform the payer of the new Fee Schedule, which became effective July 1, 2010. You could also mention the section you are reading now on the MWCC web site. Once you have made the carrier aware of the changes, you probably won't have further difficulties. If there continues to be a problem, you should contact the MWCC at 601-987-4200, and request to speak with Medical Cost Containment. Or you can contact the Medical Cost Containment Director by email to cmills@mwcc.state.ms.us.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":11,"isActive":false},"175":{"id":175,"heading":"What are the allowables for the new 2016 Radiology CPT codes?","content":"Allowables for new 2016 Radiology CPT Codes:
  • 73552 - $56.52
  • 73502 - $72.39
  • 73522 - $85.09
  • 73521 - $69.22
  • 72081 - $67.31
","extraContent":null,"urlPath":null,"faqCategory":"mfs2013","sortOrder":11,"isActive":false},"215":{"id":215,"heading":"What file formats are accepted in ATOS?","content":"Only PDF's are accepted. If they are scanned documents, they should be scanned in as monochrome or black and white with a DPI of 300.

Please scan documents in portrait orientation, not landscape.","extraContent":null,"urlPath":null,"faqCategory":"atosFAQ","sortOrder":11,"isActive":true},"229":{"id":229,"heading":"Who is the contact regarding nonpayment of a worker's compensation claim?","content":"Regarding non-payment of claims, contact a Claims Representative","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":11,"isActive":true},"250":{"id":250,"heading":"When should a Form B-31 be filed?","content":"When the employer/carrier are reasonably sure that all compensation and medical benefits have been paid.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":11,"isActive":true},"273":{"id":273,"heading":"How do I file a Workers??? Compensation Claim?","content":"For information about how to file a claim or the status of a current claim, call a Claims Representative.","extraContent":null,"urlPath":"","faqCategory":"executiveDirector","sortOrder":11,"isActive":true},"291":{"id":291,"heading":"How many copies of pleadings should be filed?","content":"The petition to controvert (Form B-5, 11) must be filed in triplicate (three copies), but only one copy of motions and correspondence should be filed. Please do not send an extra copy to the administrative judge, as the administrative judges use only the official MWCC files maintained in the docket room.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":11,"isActive":true},"309":{"id":309,"heading":"What is the penalty for untimely filing of medical charges or untimely payment of medical charges?","content":"It is ten percent (10%) per 30-day period.

HCFA-1500 form and documentation must be filed within 20 days for a newly diagnosed work-related injury or injury; and within 30 days for subsequent billings. Otherwise, the bill may be reduced by 10% for each 30-day period for late billing.

Likewise, payment of properly submitted, documented, bills should be made with 30 days of receipt. If no payment is made within 60 days, then a payer may be subject to penalties not to exceed 10% for each 30-day period after 60 days.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":11,"isActive":true},"349":{"id":349,"heading":"My first epidural injection was approved, but when I did a second one because the patient was better, the insurance carrier refused to pay because I didn't get prior-approval. What should I do?","content":"Most likely, your insurance carrier is not aware of the 2010 MWCC Medical Fee Schedule changes regarding epidural injections. Effective July 1, 2010, you must have documented partial relief with the first injection, though not necessarily prior to the repeat injection as discussed in an earlier FAQ. Assuming you did so, you should initially inform the payer of the new Fee Schedule, which became effective July 1, 2010. You could also mention the section you are reading now on the MWCC web site. Once you have made the carrier aware of the changes, you probably won't have further difficulties. If there continues to be a problem, you should contact the MWCC at 601-987-4200, and request to speak with Medical Cost Containment. Or you can contact the Medical Cost Containment Director by email to cmills@mwcc.state.ms.us.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":11,"isActive":true},"371":{"id":371,"heading":"What are the allowables for the new 2016 Radiology CPT codes?","content":"Allowables for new 2016 Radiology CPT Codes:
  • 73552 - $56.52
  • 73502 - $72.39
  • 73522 - $85.09
  • 73521 - $69.22
  • 72081 - $67.31
","extraContent":null,"urlPath":null,"faqCategory":"mfs2013","sortOrder":11,"isActive":true},"20":{"id":20,"heading":"I need to change my ATOS password. Should I call the Commission?","content":"To change your ATOS password, login to ATOS and then click the Profile Management button on the top right of your screen. It is the third button from the right.

On the screen that appears, you may update your password, phone number, fax number, email address, and physical address.","extraContent":null,"urlPath":null,"faqCategory":"atosFAQ","sortOrder":12,"isActive":false},"34":{"id":34,"heading":"Who is the contact for verification of employment?","content":"Daisy Joiner - Phone: (601) 987-4290","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":12,"isActive":false},"55":{"id":55,"heading":"When is an Administrative Judge's Order final (how long do you have to appeal a Judge's final Order)?","content":"An appeal to Full Commission should be filed within twenty (20) days of the Order of the Administrative Judge. (Any appeal due to be filed on a Saturday, Sunday, Holiday, or any other day the office is not open for business would be accepted on the next working day.)","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":12,"isActive":false},"96":{"id":96,"heading":"How can I obtain a copy of the prehearing statement form, medical records affidavit form, and form order?","content":"The prehearing statement form, medical records affidavit form, and form order are available at this website.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":12,"isActive":false},"114":{"id":114,"heading":"Is the employee or employer responsible for the balance of a paid charge?","content":"No, if the payment has been made properly according to the medical fee schedule, then fees in excess of the maximum reimbursement allowable rate must not be billed to the employee or employer.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":12,"isActive":false},"154":{"id":154,"heading":"Guidelines pertaining to sacroiliac joint injections, which are billed using CPT Code 27096, are contained in the Pain Management section of the 2010 Fee Schedule at Part V.J and Part V.S., pages 83 and 86. However, this particular CPT Code does not appear in the list of CPT Codes and their related fees which are part of the Pain Management section. What is the proper reimbursement for this Code when used in the Pain Management setting?","content":"CPT Code 27096 was inadvertently left out of the Pain Management section, and is instead only listed in the Surgery section. The reimbursement amount for the physician billing this Code in the Pain Management setting is $435.87. The APC Amount for this Code, when used in the Pain Manage setting should be $482.98.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":12,"isActive":false},"216":{"id":216,"heading":"I need to change my ATOS password. Should I call the Commission?","content":"To change your ATOS password, login to ATOS and then click the Profile Management button on the top right of your screen. It is the third button from the right.

On the screen that appears, you may update your password, phone number, fax number, email address, and physical address.","extraContent":null,"urlPath":null,"faqCategory":"atosFAQ","sortOrder":12,"isActive":true},"230":{"id":230,"heading":"Who is the contact for verification of employment?","content":"Inez Hankins - Phone: (601) 987-4285","extraContent":null,"urlPath":"","faqCategory":"businessOffice","sortOrder":12,"isActive":true},"251":{"id":251,"heading":"When is an Administrative Judge's Order final (how long do you have to appeal a Judge's final Order)?","content":"An appeal to Full Commission should be filed within twenty (20) days of the Order of the Administrative Judge. (Any appeal due to be filed on a Saturday, Sunday, Holiday, or any other day the office is not open for business would be accepted on the next working day.)","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":12,"isActive":true},"292":{"id":292,"heading":"How can I obtain a copy of the prehearing statement form, medical records affidavit form, and form order?","content":"The prehearing statement form, medical records affidavit form, and form order are available at this website.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":12,"isActive":true},"310":{"id":310,"heading":"Is the employee or employer responsible for the balance of a paid charge?","content":"No, if the payment has been made properly according to the medical fee schedule, then fees in excess of the maximum reimbursement allowable rate must not be billed to the employee or employer.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":12,"isActive":true},"350":{"id":350,"heading":"Guidelines pertaining to sacroiliac joint injections, which are billed using CPT Code 27096, are contained in the Pain Management section of the 2010 Fee Schedule at Part V.J and Part V.S., pages 83 and 86. However, this particular CPT Code does not appear in the list of CPT Codes and their related fees which are part of the Pain Management section. What is the proper reimbursement for this Code when used in the Pain Management setting?","content":"CPT Code 27096 was inadvertently left out of the Pain Management section, and is instead only listed in the Surgery section. The reimbursement amount for the physician billing this Code in the Pain Management setting is $435.87. The APC Amount for this Code, when used in the Pain Manage setting should be $482.98.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":12,"isActive":true},"21":{"id":21,"heading":"Which document types can be filed in ATOS?","content":"MOTION
    ??? MOTION - COMPEL DISCOVERY
    ??? MOTION - COMPEL PAYMENT
    ??? MOTION - CONSOLIDATE
    ??? MOTION - CONTINUANCE
    ??? MOTION - DISMISS
    ??? MOTION - EVALUATION
    ??? MOTION - MEDICAL TREATMENT
    ??? MOTION - OTHER
    ??? MOTION - PROTECTIVE ORDER
    ??? MOTION - RECONSIDER
    ??? MOTION - REINSTATE BENEFITS
    ??? MOTION - REINSTATE CLAIM
    ??? MOTION - REOPEN
    ??? MOTION - STRIKE
    ??? MOTION - SUBSTITUTE COUNSEL
    ??? MOTION - SUSPEND BENEFITS
    ??? MOTION - TEMP BENEFITS
    ??? MOTION - TIME
    ??? MOTION - WITHDRAW
    ??? MOTION - SUPPLEMENTAL INITIAL
    ??? MOTION - ATTORNEY FEES
    ??? MOTION - SANCTIONS
    ??? MOTION - IME
    ??? MOTION - ENFORCE
    ??? MOTION - SET HEARING
    ??? MOTION - WITHDRAW WITH LIEN
    ??? MOTION - DISMISS OTHER

FORM
    ??? B-18-15
    ??? B-18-15-16
    ??? B-18-15-16-17
    ??? B-18-15-17
    ??? B-18-16
    ??? B-18-16-17
    ??? B-18-17
    ??? B-5,11
    ??? B-5,22
    ??? B-52
    ??? AMENDED-B5-11
    ??? AMENDED-B5-22
    ??? MEDICAL RECORDS - B511
    ??? B-31
    ??? B-19

EXTENSION
    ??? EXTENSION REQUEST

RESPONSE
    ??? RESPONSE TO MOTION
    ??? RESPONSE TO FULL COMMISSION BRIEF
    ??? REPLY TO PREV MOTION RESPONSE
    ??? RESPONSE-TO-STATUS-REQ
    ??? REQUEST FOR ADMISSION RE
    ??? MOTION - SUPPLEMENTAL RESPONSE
    ??? SUPREME COURT BRIEF RESPONSE

OTHER
    ??? ADMINISTRATIVE JUDGE BRIEF
    ??? APPEAL - FC
    ??? APPEAL - RESPONSE
    ??? APPEAL - SC
    ??? ATTORNEY FEE CONTRACT
    ??? ATTORNEY FEE LIEN
    ??? COPY REQUEST
    ??? CORRESPONDENCE
    ??? CROSS APPEAL - FC
    ??? CROSS APPEAL - SC
    ??? DEPOSITION
    ??? DEPOSITION - MEDICAL
    ??? ENTRY OF APPEARANCE
    ??? FULL COMMISSION BRIEF
    ??? MAIL RECEIPT
    ??? NOTICE
    ??? NOTICE OF DEPO
    ??? REQUEST FOR ADMISSION
    ??? WAGE STATEMENT
    ??? CASE MANAGEMENT
    ??? NOTICE OF HEARING
    ??? SUBPOENA OTHER
    ??? SUBPOENA DUCES TECUM
    ??? CHILD SUPPORT LIEN
    ??? DESIGNATION OF RECORD
    ??? NOTICE OF COMPLIANCE
    ??? UNREP CLAIMANT PROPOSED SETTLEMENT
    ??? SUPREME COURT BRIEF
    ??? 
    ??? 2nd INJURY FUND
    ??? SUPREME COURT MANDATE
    ??? 9I - FINAL MEDICAL
    ??? IME - EME REPORT
    ??? TEMPORARY DISABILITY REQUEST
    ??? MEDICAL - PRELIMINARY
    ??? MEDICAL - FINAL
    ??? MEDICAL - PRELIM FINAL
    ??? MEDICAL - PRELIM / FINAL

PRE-HEARING
    ??? PREHEARING STATEMENT
    ??? AMENDED PREHEARING

Internal Use Only
    ??? ORDER - AJ
    ??? ORDER ??? REINSTATE DOCKET

","extraContent":null,"urlPath":null,"faqCategory":"atosFAQ","sortOrder":13,"isActive":false},"35":{"id":35,"heading":"Who is the GAAP Coordinator?","content":"Inez Hankins - Phone: (601) 987-4285","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":13,"isActive":false},"56":{"id":56,"heading":"When is a Full Commission Order final (how long do you have to appeal a Full Commission Order)?","content":"An appeal to the Circuit Court should be filed with the Commission within thirty (30) days of the Full Commission Order.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":13,"isActive":false},"97":{"id":97,"heading":"What if a case is settled before the scheduled hearing?","content":"If a case settles before the scheduled hearing, the attorneys should telephone the legal assistant in the docket room so that the administrative judge will be informed that the hearing has been settled and then follow up with a written announcement of settlement.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":13,"isActive":false},"115":{"id":115,"heading":"If authorization is given for medical treatment, can payment be denied when bill received?","content":"No. When authorization is given, services are provided in good faith, therefore, payment must be rendered. Reimbursement determinations shall be based on medical necessity of services to either establish a diagnosis or treat an injury/illness. Thus reimbursement shall not be dependent on the outcome of medically necessary diagnostic services or treatment.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":13,"isActive":false},"155":{"id":155,"heading":"CPT Code 27096 was inadvertently left out of the Pain Management section, and is instead only listed in the Surgery section. The reimbursement amount for the physician billing this Code in the Pain Management setting is $435.87. The APC Amount for this Code, when used in the Pain Manage setting should be $482.98.","content":"CPT Code 27096 was inadvertently left out of the Pain Management section, and is instead only listed in the Surgery section. The reimbursement amount for the physician billing this Code in the Pain Management setting is $435.87. The APC Amount for this Code, when used in the Pain Manage setting should be $482.98.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":13,"isActive":false},"217":{"id":217,"heading":"Which document types can be filed in ATOS?","content":"MOTION
    ??? MOTION - COMPEL DISCOVERY
    ??? MOTION - COMPEL PAYMENT
    ??? MOTION - CONSOLIDATE
    ??? MOTION - CONTINUANCE
    ??? MOTION - DISMISS
    ??? MOTION - EVALUATION
    ??? MOTION - MEDICAL TREATMENT
    ??? MOTION - OTHER
    ??? MOTION - PROTECTIVE ORDER
    ??? MOTION - RECONSIDER
    ??? MOTION - REINSTATE BENEFITS
    ??? MOTION - REINSTATE CLAIM
    ??? MOTION - REOPEN
    ??? MOTION - STRIKE
    ??? MOTION - SUBSTITUTE COUNSEL
    ??? MOTION - SUSPEND BENEFITS
    ??? MOTION - TEMP BENEFITS
    ??? MOTION - TIME
    ??? MOTION - WITHDRAW
    ??? MOTION - SUPPLEMENTAL INITIAL
    ??? MOTION - ATTORNEY FEES
    ??? MOTION - SANCTIONS
    ??? MOTION - IME
    ??? MOTION - ENFORCE
    ??? MOTION - SET HEARING
    ??? MOTION - WITHDRAW WITH LIEN
    ??? MOTION - DISMISS OTHER

FORM
    ??? B-18-15
    ??? B-18-15-16
    ??? B-18-15-16-17
    ??? B-18-15-17
    ??? B-18-16
    ??? B-18-16-17
    ??? B-18-17
    ??? B-5,11
    ??? B-5,22
    ??? B-52
    ??? AMENDED-B5-11
    ??? AMENDED-B5-22
    ??? MEDICAL RECORDS - B511
    ??? B-31
    ??? B-19

EXTENSION
    ??? EXTENSION REQUEST

RESPONSE
    ??? RESPONSE TO MOTION
    ??? RESPONSE TO FULL COMMISSION BRIEF
    ??? REPLY TO PREV MOTION RESPONSE
    ??? RESPONSE-TO-STATUS-REQ
    ??? REQUEST FOR ADMISSION RE
    ??? MOTION - SUPPLEMENTAL RESPONSE
    ??? SUPREME COURT BRIEF RESPONSE

OTHER
    ??? ADMINISTRATIVE JUDGE BRIEF
    ??? APPEAL - FC
    ??? APPEAL - RESPONSE
    ??? APPEAL - SC
    ??? ATTORNEY FEE CONTRACT
    ??? ATTORNEY FEE LIEN
    ??? COPY REQUEST
    ??? CORRESPONDENCE
    ??? CROSS APPEAL - FC
    ??? CROSS APPEAL - SC
    ??? DEPOSITION
    ??? DEPOSITION - MEDICAL
    ??? ENTRY OF APPEARANCE
    ??? FULL COMMISSION BRIEF
    ??? MAIL RECEIPT
    ??? NOTICE
    ??? NOTICE OF DEPO
    ??? REQUEST FOR ADMISSION
    ??? WAGE STATEMENT
    ??? CASE MANAGEMENT
    ??? NOTICE OF HEARING
    ??? SUBPOENA OTHER
    ??? SUBPOENA DUCES TECUM
    ??? CHILD SUPPORT LIEN
    ??? DESIGNATION OF RECORD
    ??? NOTICE OF COMPLIANCE
    ??? UNREP CLAIMANT PROPOSED SETTLEMENT
    ??? SUPREME COURT BRIEF
    ??? 
    ??? 2nd INJURY FUND
    ??? SUPREME COURT MANDATE
    ??? 9I - FINAL MEDICAL
    ??? IME - EME REPORT
    ??? TEMPORARY DISABILITY REQUEST
    ??? MEDICAL - PRELIMINARY
    ??? MEDICAL - FINAL
    ??? MEDICAL - PRELIM FINAL
    ??? MEDICAL - PRELIM / FINAL

PRE-HEARING
    ??? PREHEARING STATEMENT
    ??? AMENDED PREHEARING

Internal Use Only
    ??? ORDER - AJ
    ??? ORDER ??? REINSTATE DOCKET

","extraContent":null,"urlPath":null,"faqCategory":"atosFAQ","sortOrder":13,"isActive":true},"231":{"id":231,"heading":"Who is the GAAP Coordinator?","content":"Inez Hankins - Phone: (601) 987-4285","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":13,"isActive":true},"252":{"id":252,"heading":"When is a Full Commission Order final (how long do you have to appeal a Full Commission Order)?","content":"An appeal to the Circuit Court should be filed with the Commission within thirty (30) days of the Full Commission Order.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":13,"isActive":true},"293":{"id":293,"heading":"What if a case is settled before the scheduled hearing?","content":"If a case settles before the scheduled hearing, the attorneys should telephone the legal assistant in the docket room so that the administrative judge will be informed that the hearing has been settled and then follow up with a written announcement of settlement.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":13,"isActive":true},"311":{"id":311,"heading":"If authorization is given for medical treatment, can payment be denied when bill received?","content":"No. When authorization is given, services are provided in good faith, therefore, payment must be rendered. Reimbursement determinations shall be based on medical necessity of services to either establish a diagnosis or treat an injury/illness. Thus reimbursement shall not be dependent on the outcome of medically necessary diagnostic services or treatment.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":13,"isActive":true},"351":{"id":351,"heading":"CPT Code 27096 was inadvertently left out of the Pain Management section, and is instead only listed in the Surgery section. The reimbursement amount for the physician billing this Code in the Pain Management setting is $435.87. The APC Amount for this Code, when used in the Pain Manage setting should be $482.98.","content":"CPT Code 27096 was inadvertently left out of the Pain Management section, and is instead only listed in the Surgery section. The reimbursement amount for the physician billing this Code in the Pain Management setting is $435.87. The APC Amount for this Code, when used in the Pain Manage setting should be $482.98.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":13,"isActive":true},"36":{"id":36,"heading":"How do I obtain a copy of the Annual Report?","content":"Visit our website annual report page.","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":14,"isActive":false},"57":{"id":57,"heading":"When will a transcript be prepared and sent to the parties?","content":"As soon as an appeal to the Full Commission is received, the transcript along with exhibits will be prepared by the transcription service or court reporter and sent to the attorneys of record or to any non-represented party.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":14,"isActive":false},"98":{"id":98,"heading":"Where do I send a petition for approval of compromise (\"9-i\") settlement?","content":"All 9-I petitions should be filed in ATOS under the event "UNREPCLAIMANT PROPOSED SETTLEMENT." Unrepresented claimants are interviewed via phone by a Commissioner or Administrative Law Judge.

When is the best time to schedule an unrepresented 9i hearing before an administrative judge?

For most judges, on motion day prior to the 10:00 start of motions.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":14,"isActive":false},"116":{"id":116,"heading":"Are Explanation of Benefits forms required with every payment of medical charges?","content":"No, but the Explanation of Benefits form is required whenever the reimbursement amount is less than the charged amount, and it must be provided with the reimbursement check.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":14,"isActive":false},"156":{"id":156,"heading":"When billing for an injection procedure for sacroiliac joint, arthrography and/or anesthetic/steroid, using CPT Code 27096, some payers are rejecting payment based on our failure to bill using either HCPCS Codes G0259 or G0260. Is CPT Code 27096 proper for billing this procedure?","content":"HCPCS codes G0259 and G0260 were originally created to replace CPT code 27096 in order to facilitate appropriate reporting and payment under HOPPS (Hospital Outpatient Prospective Payment System). However, 27096 is still an appropriate procedure code for billing this service, and in the section of our Fee Schedule titled ???Durable Medical Equipment (DME), Orthotics, Prosthetics and Other HCPCS Codes,??? at page 448, Part II.G.2., we state, in explaining the use of ???G??? codes that: ???Procedures and professional services identified by G codes may have a corresponding CPT code. When both a G code and CPT code describe the same procedure, the CPT code is required for reporting purposes.??? Hence, the required billing code for this procedure is CPT 27096, and a claim is not to be rejected based on failure of the provider to bill using the corresponding HCPCS ???G??? codes. The ???G??? codes should be used only for ???procedures and professional services that do not currently have a valid CPT code.??? MS Workers' Compensation Medical Fee Schedule, Durable Medical Equipment (DME), Orthotics, Prosthetics and Other HCPCS Codes, Part II.G.3 (2010).","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":14,"isActive":false},"232":{"id":232,"heading":"How do I obtain a copy of the Annual Report?","content":"Visit our website annual report page.","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":14,"isActive":true},"253":{"id":253,"heading":"When will a transcript be prepared and sent to the parties?","content":"As soon as an appeal to the Full Commission is received, the transcript along with exhibits will be prepared by the transcription service or court reporter and sent to the attorneys of record or to any non-represented party.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":14,"isActive":true},"294":{"id":294,"heading":"Where do I send a petition for approval of compromise (\"9-i\") settlement?","content":"All 9-I petitions should be filed in ATOS under the event "UNREPCLAIMANT PROPOSED SETTLEMENT." Unrepresented claimants are interviewed via phone by a Commissioner or Administrative Law Judge.

When is the best time to schedule an unrepresented 9i hearing before an administrative judge?

For most judges, on motion day prior to the 10:00 start of motions.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":14,"isActive":true},"312":{"id":312,"heading":"Are Explanation of Benefits forms required with every payment of medical charges?","content":"No, but the Explanation of Benefits form is required whenever the reimbursement amount is less than the charged amount, and it must be provided with the reimbursement check.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":14,"isActive":true},"352":{"id":352,"heading":"When billing for an injection procedure for sacroiliac joint, arthrography and/or anesthetic/steroid, using CPT Code 27096, some payers are rejecting payment based on our failure to bill using either HCPCS Codes G0259 or G0260. Is CPT Code 27096 proper for billing this procedure?","content":"HCPCS codes G0259 and G0260 were originally created to replace CPT code 27096 in order to facilitate appropriate reporting and payment under HOPPS (Hospital Outpatient Prospective Payment System). However, 27096 is still an appropriate procedure code for billing this service, and in the section of our Fee Schedule titled ???Durable Medical Equipment (DME), Orthotics, Prosthetics and Other HCPCS Codes,??? at page 448, Part II.G.2., we state, in explaining the use of ???G??? codes that: ???Procedures and professional services identified by G codes may have a corresponding CPT code. When both a G code and CPT code describe the same procedure, the CPT code is required for reporting purposes.??? Hence, the required billing code for this procedure is CPT 27096, and a claim is not to be rejected based on failure of the provider to bill using the corresponding HCPCS ???G??? codes. The ???G??? codes should be used only for ???procedures and professional services that do not currently have a valid CPT code.??? MS Workers' Compensation Medical Fee Schedule, Durable Medical Equipment (DME), Orthotics, Prosthetics and Other HCPCS Codes, Part II.G.3 (2010).","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":14,"isActive":true},"37":{"id":37,"heading":"How do I report workers' compensation fraud?","content":"For questions concerning Fraud, contact the Attorney General's Office.","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":15,"isActive":false},"58":{"id":58,"heading":"How and when should a party request an oral argument?","content":"A party wishing to request an oral argument before the Full Commission should file a written request for oral argument within fifteen (15) days after the Petition for Review is received by the Commission.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":15,"isActive":false},"99":{"id":99,"heading":"Do claims adjusters need to be present during hearings on the merits?","content":"The claims adjuster handling the claim shall either be present or available to the Commission by phone during the entirety of this hearing.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":15,"isActive":false},"117":{"id":117,"heading":"If the carrier disputes a bill, is payment required? What action is required?","content":"The carrier is required to pay the undisputed portion of the bill within 30 days of receipt. And for the disputed portion, the carrier shall notify the provider within 30 day of the receipt of the bill of the reasons for disputing the bill or portion thereof, and shall notify the provider of its right to provide additional information and to request reconsideration of the carrier's action. The carrier must specify the reasons of dispute.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":15,"isActive":false},"157":{"id":157,"heading":"What is the proper way to reimburse for CPT Code 77003?","content":"A professional fee payable to the physician is allowed for CPT Code 77003, regardless of the site of service, for any services which in which fluoroscopic guidance is not considered inclusive of the underlying procedure. The physician fee allowance is $121.92. This procedure code and professional fee amount is listed in the Radiology section of the Schedule. The current CPT manual clearly describes the list of underlying procedures for which 77003 is considered inclusive, and hence no separate payment is allowed. There is no separate facility fee payment (or APC Amount) for procedure 77003, effective for services provided on or after July 1, 2010. From August 1, 2007 to June 30, 2010, a facility fee of $100.00 was allowed for this procedure when performed in the pain management setting, payable once per date of service, but this minimum facility fee was not carried forward in the 2010 update to the Schedule.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":15,"isActive":false},"233":{"id":233,"heading":"How do I report workers' compensation fraud?","content":"For questions concerning Fraud, contact the Attorney General's Office.","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":15,"isActive":true},"254":{"id":254,"heading":"How and when should a party request an oral argument?","content":"A party wishing to request an oral argument before the Full Commission should file a written request for oral argument within fifteen (15) days after the Petition for Review is received by the Commission.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":15,"isActive":true},"295":{"id":295,"heading":"Do claims adjusters need to be present during hearings on the merits?","content":"The claims adjuster handling the claim shall either be present or available to the Commission by phone during the entirety of this hearing.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":15,"isActive":true},"313":{"id":313,"heading":"If the carrier disputes a bill, is payment required? What action is required?","content":"The carrier is required to pay the undisputed portion of the bill within 30 days of receipt. And for the disputed portion, the carrier shall notify the provider within 30 day of the receipt of the bill of the reasons for disputing the bill or portion thereof, and shall notify the provider of its right to provide additional information and to request reconsideration of the carrier's action. The carrier must specify the reasons of dispute.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":15,"isActive":true},"353":{"id":353,"heading":"What is the proper way to reimburse for CPT Code 77003?","content":"A professional fee payable to the physician is allowed for CPT Code 77003, regardless of the site of service, for any services which in which fluoroscopic guidance is not considered inclusive of the underlying procedure. The physician fee allowance is $121.92. This procedure code and professional fee amount is listed in the Radiology section of the Schedule. The current CPT manual clearly describes the list of underlying procedures for which 77003 is considered inclusive, and hence no separate payment is allowed. There is no separate facility fee payment (or APC Amount) for procedure 77003, effective for services provided on or after July 1, 2010. From August 1, 2007 to June 30, 2010, a facility fee of $100.00 was allowed for this procedure when performed in the pain management setting, payable once per date of service, but this minimum facility fee was not carried forward in the 2010 update to the Schedule.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":15,"isActive":true},"59":{"id":59,"heading":"When should a Full Commission brief be filed?","content":"If requesting an oral argument, any briefs filed with the Commission should be submitted at least five (5) business days before the Full Commission hearing.

If the parties desire a decision without the benefit of an oral argument, the petitioner has thirty (30) days following the date the record is mailed to the parties within which to submit a brief. The opposing party then has an additional thirty (30) days from that date to submit a response. If no briefs are filed at the end of sixty (60) days, the file is assigned to a Commission for review by the Full Commission.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":16,"isActive":false},"100":{"id":100,"heading":"Does the Commission cover or reimburse expert medical witness fees?","content":"The Commission's FY18 appropriation bill, SB2975, cut the Commission's spending request by $779,007. As a result of these budget cuts, the Commission was forced to take action and reduce Commission expenses. Pursuant to Rule 18(h) of the Procedural Rules of the Mississippi Workers' Compensation Commission, the Commission is suspending payment and/or reimbursement of expert medical witness fees. This suspension covers the fees addressed in Rules 9(6) and 18(h) of the Procedural Rules of the Mississippi Workers' Compensation Commission.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":16,"isActive":false},"118":{"id":118,"heading":"How can the medical provider request reconsideration of reimbursement?","content":"The provider must make a written request within 30 days from receipt of the Explanation of Benefits form. Allowances may be made by payer for the period of time in submission of reconsideration requests. The payer must respond within 30 days of receipt to the request for reconsideration. The payer must review and re-evaluate the original bill and respond accordingly. If the medical provider is still dissatisfied, then a request for dispute resolution should be filed with the MWCC Medical Cost Containment Department.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":16,"isActive":false},"158":{"id":158,"heading":"I recommended that a patient receive a trial of epidural injections for their back pain that radiates into the leg, but it was denied, because the patient didn't have any motor or sensory loss, or EMGs that demonstrated nerve damage. Are these conditions precedent for an injured worker to receive an epidural injection in Mississippi?","content":"NO. EMGs are NOT required, and the patient may well have a normal neurological exam (motor/sensory). In fact, the outcome from a steroid injection is often likely to be better when is there isn't nerve damage. The steroids in an epidural injection are used to treat inflammation, not nerve damage. Steroids are anti-inflammatory medications, not pain killers, and the pain relief is due to reduction of inflammation, not healing of the nerve damage. Nerve regeneration, if it occurs at all, is a physiological process that requires time. Even surgery does not \"undo\" damage that has already happened, though it can speed recovery by preventing further damage. Steroid injections are NOT typically used when there is evidence of progressive nerve damage. Page 79 of the Pain Management section of the Fee Schedule (I.C.4.) requires appropriate documentation of radiating/radicular pain, but there is no requirement for nerve damage as demonstrated either by exam or electro-physiological findings (EMG). In Mississippi, consistent with the recommendations of multiple national and international pain intervention societies, we require evidence of radiating or radicular pain (radiculopathy or radiculitis) in order to proceed with epidural steroid injections. Spinal stenosis with symptoms or radiating gluteal or extremity pain, is also an indication for epidural steroids, though there is no requirement that nerve damaged be present.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":16,"isActive":false},"255":{"id":255,"heading":"When should a Full Commission brief be filed?","content":"If requesting an oral argument, any briefs filed with the Commission should be submitted at least five (5) business days before the Full Commission hearing.

If the parties desire a decision without the benefit of an oral argument, the petitioner has thirty (30) days following the date the record is mailed to the parties within which to submit a brief. The opposing party then has an additional thirty (30) days from that date to submit a response. If no briefs are filed at the end of sixty (60) days, the file is assigned to a Commission for review by the Full Commission.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":16,"isActive":true},"296":{"id":296,"heading":"Does the Commission cover or reimburse expert medical witness fees?","content":"The Commission's FY18 appropriation bill, SB2975, cut the Commission's spending request by $779,007. As a result of these budget cuts, the Commission was forced to take action and reduce Commission expenses. Pursuant to Rule 18(h) of the Procedural Rules of the Mississippi Workers' Compensation Commission, the Commission is suspending payment and/or reimbursement of expert medical witness fees. This suspension covers the fees addressed in Rules 9(6) and 18(h) of the Procedural Rules of the Mississippi Workers' Compensation Commission.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":16,"isActive":true},"314":{"id":314,"heading":"How can the medical provider request reconsideration of reimbursement?","content":"The provider must make a written request within 30 days from receipt of the Explanation of Benefits form. Allowances may be made by payer for the period of time in submission of reconsideration requests. The payer must respond within 30 days of receipt to the request for reconsideration. The payer must review and re-evaluate the original bill and respond accordingly. If the medical provider is still dissatisfied, then a request for dispute resolution should be filed with the MWCC Medical Cost Containment Department.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":16,"isActive":true},"354":{"id":354,"heading":"I recommended that a patient receive a trial of epidural injections for their back pain that radiates into the leg, but it was denied, because the patient didn't have any motor or sensory loss, or EMGs that demonstrated nerve damage. Are these conditions precedent for an injured worker to receive an epidural injection in Mississippi?","content":"NO. EMGs are NOT required, and the patient may well have a normal neurological exam (motor/sensory). In fact, the outcome from a steroid injection is often likely to be better when is there isn't nerve damage. The steroids in an epidural injection are used to treat inflammation, not nerve damage. Steroids are anti-inflammatory medications, not pain killers, and the pain relief is due to reduction of inflammation, not healing of the nerve damage. Nerve regeneration, if it occurs at all, is a physiological process that requires time. Even surgery does not \"undo\" damage that has already happened, though it can speed recovery by preventing further damage. Steroid injections are NOT typically used when there is evidence of progressive nerve damage. Page 79 of the Pain Management section of the Fee Schedule (I.C.4.) requires appropriate documentation of radiating/radicular pain, but there is no requirement for nerve damage as demonstrated either by exam or electro-physiological findings (EMG). In Mississippi, consistent with the recommendations of multiple national and international pain intervention societies, we require evidence of radiating or radicular pain (radiculopathy or radiculitis) in order to proceed with epidural steroid injections. Spinal stenosis with symptoms or radiating gluteal or extremity pain, is also an indication for epidural steroids, though there is no requirement that nerve damaged be present.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":16,"isActive":true},"60":{"id":60,"heading":"Which county is a Circuit Court appeal record sent?","content":"The record is sent to the Circuit Court Clerk of the county of accident.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":17,"isActive":false},"101":{"id":101,"heading":"Does the Health Insurance Portability & Accountability Act (HIPAA) apply to Workers' Compensation?","content":"The HIPAA Privacy Rule does not apply to entities that are either workers' compensation insurers, workers' compensation administrative agencies, or employers, except to the extent they may otherwise be covered entities. However, these entities need access to the health information of individuals who are injured on the job or who have a work-related illness to process or adjudicate claims, or to coordinate care under workers' compensation systems. Generally, this health information is obtained from health care providers who treat these individuals and who may be covered by the Privacy Rule. The Privacy Rule recognizes the legitimate need of insurers and other entities involved in the workers' compensation systems to have access to individuals' health information as authorized by State or other law. Due to the significant variability among such laws, the Privacy Rule permits disclosures of health information for workers' compensation purposes in a number of different ways.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":17,"isActive":false},"119":{"id":119,"heading":"May a Mississippi injured worker receive medical treatment out of state?","content":"Yes, however, prior authorization must be obtained from the payer for referral to out-of-state providers. Reimbursement for out-of-state services shall be based on one of the following: the workers' compensation fee schedule for the state in which services are rendered or the usual and customary fee for the geographical area in which the services are rendered.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":17,"isActive":false},"159":{"id":159,"heading":"How are lab fees paid in the out-patient facility setting?","content":"This will vary depending on the services performed. Charges for out-patient surgery are paid based on the APC system. Some CPT codes, including many in the laboratory/pathology section of the Schedule, have an APC amount of 0.00, which is indicated by a blank space in the APC Amount column of the Schedule. These services are not reimbursed since there is no APC Amount. However, any procedure/CPT code which is not listed in the Schedule at all will not have an APC Amount, obviously, and is therefore, paid at the usual and customary rate, as that phrase is elsewhere defined in the Schedule.

When lab services are provided as part of an Emergency Room visit, the lab charges are reimbursed from the \"Amount\" column. In cases, where there are PC/TC (professional component and technical component) amounts specified, payment is at the TC maximum value. When lab services are provided without an out-patient surgery service, or Emergency Room service, the lab charges are also paid from the \"Amount\" column. If PC/TC components apply, the TC component is paid.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":17,"isActive":false},"256":{"id":256,"heading":"Which county is a Circuit Court appeal record sent?","content":"The record is sent to the Circuit Court Clerk of the county of accident.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":17,"isActive":true},"297":{"id":297,"heading":"Does the Health Insurance Portability & Accountability Act (HIPAA) apply to Workers' Compensation?","content":"The HIPAA Privacy Rule does not apply to entities that are either workers' compensation insurers, workers' compensation administrative agencies, or employers, except to the extent they may otherwise be covered entities. However, these entities need access to the health information of individuals who are injured on the job or who have a work-related illness to process or adjudicate claims, or to coordinate care under workers' compensation systems. Generally, this health information is obtained from health care providers who treat these individuals and who may be covered by the Privacy Rule. The Privacy Rule recognizes the legitimate need of insurers and other entities involved in the workers' compensation systems to have access to individuals' health information as authorized by State or other law. Due to the significant variability among such laws, the Privacy Rule permits disclosures of health information for workers' compensation purposes in a number of different ways.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":17,"isActive":true},"315":{"id":315,"heading":"May a Mississippi injured worker receive medical treatment out of state?","content":"Yes, however, prior authorization must be obtained from the payer for referral to out-of-state providers. Reimbursement for out-of-state services shall be based on one of the following: the workers' compensation fee schedule for the state in which services are rendered or the usual and customary fee for the geographical area in which the services are rendered.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":17,"isActive":true},"355":{"id":355,"heading":"How are lab fees paid in the out-patient facility setting?","content":"This will vary depending on the services performed. Charges for out-patient surgery are paid based on the APC system. Some CPT codes, including many in the laboratory/pathology section of the Schedule, have an APC amount of 0.00, which is indicated by a blank space in the APC Amount column of the Schedule. These services are not reimbursed since there is no APC Amount. However, any procedure/CPT code which is not listed in the Schedule at all will not have an APC Amount, obviously, and is therefore, paid at the usual and customary rate, as that phrase is elsewhere defined in the Schedule.

When lab services are provided as part of an Emergency Room visit, the lab charges are reimbursed from the \"Amount\" column. In cases, where there are PC/TC (professional component and technical component) amounts specified, payment is at the TC maximum value. When lab services are provided without an out-patient surgery service, or Emergency Room service, the lab charges are also paid from the \"Amount\" column. If PC/TC components apply, the TC component is paid.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":17,"isActive":true},"61":{"id":61,"heading":"Where should an appeal to the Circuit Court be filed?","content":"A Circuit Court appeal should be filed with the Mississippi Workers' Compensation Commission. The Commission will transmit the record to the Circuit Court of the county in which the injury occurred within thirty (30) days following receipt of the appeal in the Commission offices.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":18,"isActive":false},"120":{"id":120,"heading":"When can the payer receive the report of Maximum Medical Improvement?","content":"The physician should submit a report with the date of MMI to the payer or self-insured employer within 14 days of the date of MMI date even though the employee may require further medical care. MMI is reached when the maximal benefit from medical treatment is as far restored as the permanent character of his injuries will permit and/or the current limits of medical science will permit.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":18,"isActive":false},"160":{"id":160,"heading":"While treating a patient for a work-related orthopaedic injury, I requested the patient undergo an MRI, and I specifically requested the MRI be conducted at a certain facility. The payer declined to approve the MRI at the facility I requested, and instead advised they would only approve the MRI being done with one of their preferred network providers. Can the payer unilaterally redirect patient care for diagnostic tests such as an MRI?","content":"The payer, in this instance, clearly violated the Rules contained in the Mississippi Workers' Compensation Medical Fee Schedule. In particular, General Rules, Part X on page 11-12 of the 2010 Mississippi Workers Compensation Medical Fee Schedule states:

X. SELECTION OF PROVIDERS. The selection of appropriate providers for diagnostic testing or analysis, including but not limited to CAT scans, MRI, x-ray, and laboratory, for physical or occupational therapy, including work hardening, functional capacity evaluations, back schools, chronic pain programs, or massage therapy shall be at the direction of the treating or prescribing physician. In the absence of specific direction from the treating or prescribing physician, the selection shall be made by the payer, in consultation with the treating or prescribing physician. Physical or occupational therapy, including work hardening, functional capacity evaluations, back schools, chronic pain programs, or massage therapy shall be provided upon referral from a physician. In the absence of specific direction from the treating or prescribing physician, the selection of a provider for these services shall be made by the payer in consultation with the treating or prescribing physician.

Referral for an electromyogram and/or a nerve conduction study shall be at the discretion and direction of the physician in charge of care, and neither the payer nor the payer's agent may unilaterally or arbitrarily redirect the patient to another provider for these tests. The payer or the payer's agent may, however, discuss with the physician in charge of care appropriate providers for the conduct of these tests in an effort to reach an agreement with the physician in charge as to who will conduct an electromyogram and/or nerve conduction study in any given case.

This same rule is repeated in the Physical Medicine Rules, Part XI(c), wherein in states:

XI. ELECTROMYOGRAM (EMG) AND NERVE CONDUCTION STUDY (NCS)

C. Referral for an electromyogram and/or a nerve conduction study shall be at the discretion and direction of the physician in charge of care, and neither the payer nor the payer's agent may unilaterally or arbitrarily redirect the patient to another provider for these tests. The payer or the payer's agent may, however, discuss with the physician in charge of care appropriate providers for the conduct of these tests in an effort to reach an agreement with the physician in charge as to who will conduct an electromyogram and/or nerve conduction study in any given case.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":18,"isActive":false},"257":{"id":257,"heading":"Where should an appeal to the Circuit Court be filed?","content":"A Circuit Court appeal should be filed with the Mississippi Workers' Compensation Commission. The Commission will transmit the record to the Circuit Court of the county in which the injury occurred within thirty (30) days following receipt of the appeal in the Commission offices.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":18,"isActive":true},"316":{"id":316,"heading":"When can the payer receive the report of Maximum Medical Improvement?","content":"The physician should submit a report with the date of MMI to the payer or self-insured employer within 14 days of the date of MMI date even though the employee may require further medical care. MMI is reached when the maximal benefit from medical treatment is as far restored as the permanent character of his injuries will permit and/or the current limits of medical science will permit.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":18,"isActive":true},"356":{"id":356,"heading":"While treating a patient for a work-related orthopaedic injury, I requested the patient undergo an MRI, and I specifically requested the MRI be conducted at a certain facility. The payer declined to approve the MRI at the facility I requested, and instead advised they would only approve the MRI being done with one of their preferred network providers. Can the payer unilaterally redirect patient care for diagnostic tests such as an MRI?","content":"The payer, in this instance, clearly violated the Rules contained in the Mississippi Workers' Compensation Medical Fee Schedule. In particular, General Rules, Part X on page 11-12 of the 2010 Mississippi Workers Compensation Medical Fee Schedule states:

X. SELECTION OF PROVIDERS. The selection of appropriate providers for diagnostic testing or analysis, including but not limited to CAT scans, MRI, x-ray, and laboratory, for physical or occupational therapy, including work hardening, functional capacity evaluations, back schools, chronic pain programs, or massage therapy shall be at the direction of the treating or prescribing physician. In the absence of specific direction from the treating or prescribing physician, the selection shall be made by the payer, in consultation with the treating or prescribing physician. Physical or occupational therapy, including work hardening, functional capacity evaluations, back schools, chronic pain programs, or massage therapy shall be provided upon referral from a physician. In the absence of specific direction from the treating or prescribing physician, the selection of a provider for these services shall be made by the payer in consultation with the treating or prescribing physician.

Referral for an electromyogram and/or a nerve conduction study shall be at the discretion and direction of the physician in charge of care, and neither the payer nor the payer's agent may unilaterally or arbitrarily redirect the patient to another provider for these tests. The payer or the payer's agent may, however, discuss with the physician in charge of care appropriate providers for the conduct of these tests in an effort to reach an agreement with the physician in charge as to who will conduct an electromyogram and/or nerve conduction study in any given case.

This same rule is repeated in the Physical Medicine Rules, Part XI(c), wherein in states:

XI. ELECTROMYOGRAM (EMG) AND NERVE CONDUCTION STUDY (NCS)

C. Referral for an electromyogram and/or a nerve conduction study shall be at the discretion and direction of the physician in charge of care, and neither the payer nor the payer's agent may unilaterally or arbitrarily redirect the patient to another provider for these tests. The payer or the payer's agent may, however, discuss with the physician in charge of care appropriate providers for the conduct of these tests in an effort to reach an agreement with the physician in charge as to who will conduct an electromyogram and/or nerve conduction study in any given case.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":18,"isActive":true},"22":{"id":22,"heading":"What are the responsibilities of the Business Office?","content":"The Business Office exists to provide operational and maintenance support for the MS Workers' Compensation Commission.","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":19,"isActive":false},"62":{"id":62,"heading":"Where should an appeal to a Circuit Court Order be sent?","content":"An appeal of a Circuit Court Order should be sent to the Circuit Clerk of the County where the Order was issued. Please send a copy to the Commission.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":19,"isActive":false},"121":{"id":121,"heading":"What is the reimbursement rate for Medical Depositions and Affidavits?","content":"Reimbursement for a deposition is limited to $350 for the first hour and $85 per quarter hour thereafter.
The Physician's Medical Record Custodian is allowed to sign the affidavit in lieu of physician's signature. Such charge for execution of the affidavit is limited to a maximum reimbursement of $25. Reimbursement for copies of medical records is outlined in the fee schedule and applies to copies of medical records which are attached to affidavits.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":19,"isActive":false},"161":{"id":161,"heading":"Effective January 1, 2011, CMS as well as the AMA adopted two new CPT codes, 22551 and 22552. Code 22551 replaces codes 63075 and 22554, when used together. Code 22552 replaces codes 63076 and 22585, when used together. What is the correct reimbursement rate for these two new neurosurgical codes?","content":"As noted above in the General Rules section, all new codes introduced since July 1, 2010, as well as any existing codes, which do not have a specific fee set forth in the Schedule, are subject to our default payment rule which states that reimbursement shall be the lesser of total billed charges, or the usual and customary fee as defined in the Schedule. In the case of these two new codes in particular, the usual and customary fee, as determined by using the Ingenix MDR database (MS State Version) at the 40th percentile, for CPT 22551 is currently is $7353.54, and the usual and customary fee for CPT 22552 is currently $2106.91, for the Jackson area (geo-zip 392). Therefore, in the geo-zip 392 area at least, the proper reimbursement for CPT 22551 and 22552 will be the lesser of billed charges, or these usual and customary amounts, until such time as the Commission issues an update to the Schedule which establishes specific fees for these and other new or missing codes.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":19,"isActive":false},"218":{"id":218,"heading":"What are the responsibilities of the Business Office?","content":"The Business Office exists to provide operational and maintenance support for the MS Workers' Compensation Commission.","extraContent":null,"urlPath":null,"faqCategory":"businessOffice","sortOrder":19,"isActive":true},"258":{"id":258,"heading":"Where should an appeal to a Circuit Court Order be sent?","content":"An appeal of a Circuit Court Order should be sent to the Circuit Clerk of the County where the Order was issued. Please send a copy to the Commission.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":19,"isActive":true},"317":{"id":317,"heading":"What is the reimbursement rate for Medical Depositions and Affidavits?","content":"Reimbursement for a deposition is limited to $350 for the first hour and $85 per quarter hour thereafter.
The Physician's Medical Record Custodian is allowed to sign the affidavit in lieu of physician's signature. Such charge for execution of the affidavit is limited to a maximum reimbursement of $25. Reimbursement for copies of medical records is outlined in the fee schedule and applies to copies of medical records which are attached to affidavits.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":19,"isActive":true},"357":{"id":357,"heading":"Effective January 1, 2011, CMS as well as the AMA adopted two new CPT codes, 22551 and 22552. Code 22551 replaces codes 63075 and 22554, when used together. Code 22552 replaces codes 63076 and 22585, when used together. What is the correct reimbursement rate for these two new neurosurgical codes?","content":"As noted above in the General Rules section, all new codes introduced since July 1, 2010, as well as any existing codes, which do not have a specific fee set forth in the Schedule, are subject to our default payment rule which states that reimbursement shall be the lesser of total billed charges, or the usual and customary fee as defined in the Schedule. In the case of these two new codes in particular, the usual and customary fee, as determined by using the Ingenix MDR database (MS State Version) at the 40th percentile, for CPT 22551 is currently is $7353.54, and the usual and customary fee for CPT 22552 is currently $2106.91, for the Jackson area (geo-zip 392). Therefore, in the geo-zip 392 area at least, the proper reimbursement for CPT 22551 and 22552 will be the lesser of billed charges, or these usual and customary amounts, until such time as the Commission issues an update to the Schedule which establishes specific fees for these and other new or missing codes.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":19,"isActive":true},"63":{"id":63,"heading":"What is the current mileage rate?","content":"Please refer to the rates page for the current mileage rate.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":20,"isActive":false},"122":{"id":122,"heading":"What is the reimbursement rate for Medical Records?","content":"There is no charge to the payer for the initial medical reports attached to medical charge form.
Additional medical reports will be reimbursed as follows:
1-5 pages - $15.00
6+ pages - $ 0.50 per page in addition to the first 5 pages.Hospitals and other inpatient facilities must submit required documentation with the UB-92.
  • Admission, history, and physical
  • Discharge Summary
  • Operative reports
  • Pathology reports
  • Consultations and other dictated reports
  • Emergency Room Records

Any additional reports or records requested by the payer will be reimbursed as follows:
  • 1-5 pages - $15.00/per admission
  • 6+ pages - $ 0.50/per page/per admission in addition to the first 5 pages.

There is a maximum allowed fee of $50 for a particular inpatient medical record. This is per admission.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":20,"isActive":false},"162":{"id":162,"heading":"Effective January 1, 2011, CMS as well as the AMA adopted two new CPT codes, 22551 and 22552. Code 22551 replaces codes 63075 and 22554, when used together. Code 22552 replaces codes 63076 and 22585, when used together. What is the correct facility reimbursement rate for these two new neurosurgical codes?","content":"The facility reimbursement rate (APC Amount) for CPT 22551 is $4,488.88. The facility reimbursement rate (APC Amount) for 22552 is, likewise, $4,488.88. Since the Commission has not yet elected to specifically price these two codes in accordance with the relative weighting assigned by CMS, we have elected instead to assign an APC Amount which is based on the current APC Amount for CPT Codes 63075 and 63076 (the two higher valued codes which have been replaced with 22551 and 22552). This APC Amount shall apply until further notice.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":20,"isActive":false},"259":{"id":259,"heading":"What is the current mileage rate?","content":"Please refer to the rates page for the current mileage rate.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":20,"isActive":true},"318":{"id":318,"heading":"What is the reimbursement rate for Medical Records?","content":"There is no charge to the payer for the initial medical reports attached to medical charge form.
Additional medical reports will be reimbursed as follows:
1-5 pages - $15.00
6+ pages - $ 0.50 per page in addition to the first 5 pages.Hospitals and other inpatient facilities must submit required documentation with the UB-92.
  • Admission, history, and physical
  • Discharge Summary
  • Operative reports
  • Pathology reports
  • Consultations and other dictated reports
  • Emergency Room Records

Any additional reports or records requested by the payer will be reimbursed as follows:
  • 1-5 pages - $15.00/per admission
  • 6+ pages - $ 0.50/per page/per admission in addition to the first 5 pages.

There is a maximum allowed fee of $50 for a particular inpatient medical record. This is per admission.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":20,"isActive":true},"358":{"id":358,"heading":"Effective January 1, 2011, CMS as well as the AMA adopted two new CPT codes, 22551 and 22552. Code 22551 replaces codes 63075 and 22554, when used together. Code 22552 replaces codes 63076 and 22585, when used together. What is the correct facility reimbursement rate for these two new neurosurgical codes?","content":"The facility reimbursement rate (APC Amount) for CPT 22551 is $4,488.88. The facility reimbursement rate (APC Amount) for 22552 is, likewise, $4,488.88. Since the Commission has not yet elected to specifically price these two codes in accordance with the relative weighting assigned by CMS, we have elected instead to assign an APC Amount which is based on the current APC Amount for CPT Codes 63075 and 63076 (the two higher valued codes which have been replaced with 22551 and 22552). This APC Amount shall apply until further notice.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":20,"isActive":true},"64":{"id":64,"heading":"What is the current weekly compensation rate?","content":"Two-thirds (2/3) the claimant's average weekly wage at the time of the injury, subject to a maximum as calculated annually pursuant to the Mississippi Code Annotated, Section 71.3.13. Please refer to the rates page for the weekly maximum rates.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":21,"isActive":false},"123":{"id":123,"heading":"What medical treatment may be denied?","content":"Treatment of conditions unrelated to the injuries sustained in an industrial accident may be denied as unauthorized if the treatment is directed toward the non-industrial condition or if the treatment is not deemed necessary for the patient's rehabilitation from the industrial injury.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":21,"isActive":false},"163":{"id":163,"heading":"What is the percentage reimbursement that should be associated with the use of an assistant surgeon applying modifier 82? A specific reimbursement percentage is set forth in the Fee Schedule with similar modifier explanations, such as modifier 80, 81, and AS; what percentage should be paid to the assistant surgeon under modifier 82?","content":"Both modifiers 80 and 82 describe essentially the same services of an assistant surgeon. Therefore, the services of an assistant surgeon billing under either modifier 80 or modifier 82 should be reimbursed at twenty percent (20%) of the maximum reimbursement allowance.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":21,"isActive":false},"260":{"id":260,"heading":"What is the current weekly compensation rate?","content":"Two-thirds (2/3) the claimant's average weekly wage at the time of the injury, subject to a maximum as calculated annually pursuant to the Mississippi Code Annotated, Section 71.3.13. Please refer to the rates page for the weekly maximum rates.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":21,"isActive":true},"319":{"id":319,"heading":"What medical treatment may be denied?","content":"Treatment of conditions unrelated to the injuries sustained in an industrial accident may be denied as unauthorized if the treatment is directed toward the non-industrial condition or if the treatment is not deemed necessary for the patient's rehabilitation from the industrial injury.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":21,"isActive":true},"359":{"id":359,"heading":"What is the percentage reimbursement that should be associated with the use of an assistant surgeon applying modifier 82? A specific reimbursement percentage is set forth in the Fee Schedule with similar modifier explanations, such as modifier 80, 81, and AS; what percentage should be paid to the assistant surgeon under modifier 82?","content":"Both modifiers 80 and 82 describe essentially the same services of an assistant surgeon. Therefore, the services of an assistant surgeon billing under either modifier 80 or modifier 82 should be reimbursed at twenty percent (20%) of the maximum reimbursement allowance.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":21,"isActive":true},"65":{"id":65,"heading":"How can I get a subpoena or subpoena duces tecum issued?","content":"Subpoena forms are signed and sealed, but otherwise are blank. The party requesting the subpoena should complete the form and have it served in accordance with proper Commission rules and procedures. The forms may be copied, although we suggest that you retain a good original to copy from in order that you keep a clear copy.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":22,"isActive":false},"124":{"id":124,"heading":"Are experimental or investigational procedures covered by the fee schedule?","content":"No, the service must be widely accepted by the practicing peer group, based on scientific criteria, and determined to be reasonably safe. It must not be of an experimental, investigational, or research in nature except in those instance in which prior approval of the payer has been obtained.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":22,"isActive":false},"261":{"id":261,"heading":"How can I get a subpoena or subpoena duces tecum issued?","content":"Subpoena forms are signed and sealed, but otherwise are blank. The party requesting the subpoena should complete the form and have it served in accordance with proper Commission rules and procedures. The forms may be copied, although we suggest that you retain a good original to copy from in order that you keep a clear copy.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":22,"isActive":true},"320":{"id":320,"heading":"Are experimental or investigational procedures covered by the fee schedule?","content":"No, the service must be widely accepted by the practicing peer group, based on scientific criteria, and determined to be reasonably safe. It must not be of an experimental, investigational, or research in nature except in those instance in which prior approval of the payer has been obtained.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":22,"isActive":true},"125":{"id":125,"heading":"What are medically necessary services?","content":"Medically necessary services are either those required for the remedial treatment or diagnosis of an on-the-job injury, a work-related illness, a pre-existing condition affected by the injury or illness, or a complication resulting from the injury or illness and for such period as the nature of the injury or process of recovery may require.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":23,"isActive":false},"321":{"id":321,"heading":"What are medically necessary services?","content":"Medically necessary services are either those required for the remedial treatment or diagnosis of an on-the-job injury, a work-related illness, a pre-existing condition affected by the injury or illness, or a complication resulting from the injury or illness and for such period as the nature of the injury or process of recovery may require.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":23,"isActive":true},"126":{"id":126,"heading":"Is there a separate charge for a report of release from a physician?","content":"No, a plan of care should be included in the medical record and should address, as applicable, the following:
  • Degree of restoration anticipated
  • Measurable goals
  • Specific therapies to be used
  • Frequency and duration of treatments to be used
  • Anticipated return to work date
  • Projected impairment
","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":24,"isActive":false},"322":{"id":322,"heading":"Is there a separate charge for a report of release from a physician?","content":"No, a plan of care should be included in the medical record and should address, as applicable, the following:
  • Degree of restoration anticipated
  • Measurable goals
  • Specific therapies to be used
  • Frequency and duration of treatments to be used
  • Anticipated return to work date
  • Projected impairment
","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":24,"isActive":true},"127":{"id":127,"heading":"What is the pharmacy reimbursement rate?","content":"Average Wholesale Price for the purpose of this fee schedule means AWP base on the updated Drug Topics Red Book.
  • Brand name Medications - AWP plus $5.00 dispensing fee
  • Generic Medications - AWP plus 10% plus $5.00 dispensing fee
  • Over-the counter medications - usual and customary rates.

","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":25,"isActive":false},"323":{"id":323,"heading":"What is the pharmacy reimbursement rate?","content":"Average Wholesale Price for the purpose of this fee schedule means AWP base on the updated Drug Topics Red Book.
  • Brand name Medications - AWP plus $5.00 dispensing fee
  • Generic Medications - AWP plus 10% plus $5.00 dispensing fee
  • Over-the counter medications - usual and customary rates.

","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":25,"isActive":true},"128":{"id":128,"heading":"What is the authorization response time from payers?","content":"Two days, the payer must respond within two (2) days to a request of prior authorization for non-emergency services.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":26,"isActive":false},"324":{"id":324,"heading":"What is the authorization response time from payers?","content":"Two days, the payer must respond within two (2) days to a request of prior authorization for non-emergency services.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":26,"isActive":true},"129":{"id":129,"heading":"Which medical treatments require prior authorization by payer?","content":"
  • Non-emergency elective inpatient hospitalization
  • Non-emergency elective inpatient surgery
  • Non-emergency elective outpatient surgery
  • Physical medicine treatments after 15 visits or 30 days, whichever comes first
  • Rental or purchase of supplies or equipment over the amount of $50 per item
  • Rental or purchase of TENs
  • Home health services
  • Pain clinic/therapy programs
  • External Spinal stimulators
  • Pain control programs
  • Work hardening programs, back schools, functional capacity testing, ISO kinetic testing
  • Referral for orthotics or prosthetics
  • Referral for acupuncture
  • Referral for biofeedback
  • Referral to psychological testing/counseling
  • Referral to substance abuse program
  • Referral to weight reduction program
  • Referral to any non-emergency medical service outside the state of Mississippi
","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":27,"isActive":false},"325":{"id":325,"heading":"Which medical treatments require prior authorization by payer?","content":"
  • Non-emergency elective inpatient hospitalization
  • Non-emergency elective inpatient surgery
  • Non-emergency elective outpatient surgery
  • Physical medicine treatments after 15 visits or 30 days, whichever comes first
  • Rental or purchase of supplies or equipment over the amount of $50 per item
  • Rental or purchase of TENs
  • Home health services
  • Pain clinic/therapy programs
  • External Spinal stimulators
  • Pain control programs
  • Work hardening programs, back schools, functional capacity testing, ISO kinetic testing
  • Referral for orthotics or prosthetics
  • Referral for acupuncture
  • Referral for biofeedback
  • Referral to psychological testing/counseling
  • Referral to substance abuse program
  • Referral to weight reduction program
  • Referral to any non-emergency medical service outside the state of Mississippi
","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":27,"isActive":true},"130":{"id":130,"heading":"Which medical treatments require prior certification or mandatory utilization review?","content":"
  • All admissions to inpatient facilities of any type
  • All surgical procedures, inpatient and outpatien
  • Repeat MRI (Magnetic Resonance Imaging) more than 1 per injury
  • Repeat CAT (Computerized Axial Tomography) more than 1 per injury
  • Work Hardening Programs, Pain Management Programs, Back Schools, Massage Therapy, Acupuncture, Biofeedback
  • External Spinal Stimulators
  • FCE and Isokinetic testing
  • Physical Medicine treatments
  • Home Health
","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":28,"isActive":false},"326":{"id":326,"heading":"Which medical treatments require prior certification or mandatory utilization review?","content":"
  • All admissions to inpatient facilities of any type
  • All surgical procedures, inpatient and outpatien
  • Repeat MRI (Magnetic Resonance Imaging) more than 1 per injury
  • Repeat CAT (Computerized Axial Tomography) more than 1 per injury
  • Work Hardening Programs, Pain Management Programs, Back Schools, Massage Therapy, Acupuncture, Biofeedback
  • External Spinal Stimulators
  • FCE and Isokinetic testing
  • Physical Medicine treatments
  • Home Health
","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":28,"isActive":true},"131":{"id":131,"heading":"What is the appeal process for denial of medical necessity by utilization review?","content":"First level clinical review of admissions, procedures, and services may be conducted by registered nurses and other appropriate licensed or certified health professionals.
Second level clinical review is conducted by appropriate clinical peers.
Third level clinical review is conducted by appropriate clinic peers who were not involved in second level review.Commission Peer Review may then be requested through the Commission of an objective physician in that specialty field.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":29,"isActive":false},"327":{"id":327,"heading":"What is the appeal process for denial of medical necessity by utilization review?","content":"First level clinical review of admissions, procedures, and services may be conducted by registered nurses and other appropriate licensed or certified health professionals.
Second level clinical review is conducted by appropriate clinical peers.
Third level clinical review is conducted by appropriate clinic peers who were not involved in second level review.Commission Peer Review may then be requested through the Commission of an objective physician in that specialty field.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":29,"isActive":true},"132":{"id":132,"heading":"What is the reimbursement rates for hospitals?","content":"Inpatient rates are based on a daily per diem depending on the type of stay, surgical, medical, etc. When specific criteria are met, an additional Stop Loss amount may be paid, which is 80% of the additional allowable amount.
Outpatient rates are listed in 9 groupings in the Ambulatory Surgery Centers Appendix. This is in addition to appropriate separately reimbursed items.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":30,"isActive":false},"328":{"id":328,"heading":"What is the reimbursement rates for hospitals?","content":"Inpatient rates are based on a daily per diem depending on the type of stay, surgical, medical, etc. When specific criteria are met, an additional Stop Loss amount may be paid, which is 80% of the additional allowable amount.
Outpatient rates are listed in 9 groupings in the Ambulatory Surgery Centers Appendix. This is in addition to appropriate separately reimbursed items.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":30,"isActive":true},"133":{"id":133,"heading":"When is next Fee Schedule update?","content":"This year 2002 approximately August, effective date November 1, 2002, the Updated Mississippi Workers Compensation Medical Fee Schedule will be available. Preliminary copy available at the Commission for viewing.
","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":31,"isActive":false},"329":{"id":329,"heading":"When is next Fee Schedule update?","content":"This year 2002 approximately August, effective date November 1, 2002, the Updated Mississippi Workers Compensation Medical Fee Schedule will be available. Preliminary copy available at the Commission for viewing.
","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":31,"isActive":true},"134":{"id":134,"heading":"Where can the 2002 Fee Schedule be obtained?","content":"Click here to go directly to the Medicode website.

Mississippi Workers' Compensation Fee Schedule
c/o Ingenix/Medicode, Inc.
P O Box 27116
Salt Lake City, UT 84127-0116
877-464-3649","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":32,"isActive":false},"330":{"id":330,"heading":"Where can the 2002 Fee Schedule be obtained?","content":"Click here to go directly to the Medicode website.

Mississippi Workers' Compensation Fee Schedule
c/o Ingenix/Medicode, Inc.
P O Box 27116
Salt Lake City, UT 84127-0116
877-464-3649","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":32,"isActive":true},"135":{"id":135,"heading":"Who do I contact at the Commission for questions related to the Fee Schedule?","content":"Mississippi Workers' Compensation Commission
Medical Cost Containment Department
P O Box 5300
Jackson, MS 39296-5300
601-987-4280
shofmister at mwcc.state.ms.us (replace the 'at' with @ and remove the spaces).","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":33,"isActive":false},"331":{"id":331,"heading":"Who do I contact at the Commission for questions related to the Fee Schedule?","content":"Mississippi Workers' Compensation Commission
Medical Cost Containment Department
P O Box 5300
Jackson, MS 39296-5300
601-987-4280
shofmister at mwcc.state.ms.us (replace the 'at' with @ and remove the spaces).","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":33,"isActive":true},"136":{"id":136,"heading":"When the patient goes to the hospital as outpatient for a myelogram and they charge a fee for revenue code 360 or 361 and bill for the injection for the myelogram, that should be denied and the other charges paid as separate outpatient x-ray and lab. Is this correct?","content":"Yes, deny 360 or 361. Pay S & I to hospital, and pay lab as separate outpatient. The technical portion of the procedure pays for use of the facility. Also, pay for the injection.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":34,"isActive":false},"332":{"id":332,"heading":"When the patient goes to the hospital as outpatient for a myelogram and they charge a fee for revenue code 360 or 361 and bill for the injection for the myelogram, that should be denied and the other charges paid as separate outpatient x-ray and lab. Is this correct?","content":"Yes, deny 360 or 361. Pay S & I to hospital, and pay lab as separate outpatient. The technical portion of the procedure pays for use of the facility. Also, pay for the injection.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":34,"isActive":true},"38":{"id":38,"heading":"Who is required to have workers' compensation insurance?","content":"Generally, any employer with 5 or more employees should have insurance. (Note: Certain exceptions apply to employment based on an independent or sub contract, farm and domestic employment, and to employment covered by Federal Law, such as maritime employment. See the The Mississippi Code, section 71-3-5.","extraContent":null,"urlPath":null,"faqCategory":"claimsDepartment","sortOrder":35,"isActive":false},"137":{"id":137,"heading":"I need to know if we should be paying a 23-hour surgery differently from an outpatient surgery. I have been paying them as the same but have been asked about why I do not pay observation charges in addition to the surgery. Which is correct?","content":"It is an outpatient surgery as long as it is under 24 hours. The definitions of observation are listed in the fee schedule. It states that we do not pay observation on standing orders. If you are referring to the calls from Methodist Rehab Center, this is nothing but outpatient surgery with standing orders for observation following outpatient surgery. I have told them to forward the disputes to me and I would be glad to look at them. They have just realized they are only getting $600 and $700 for outpatient surgeries. Outpatient is for a period not to exceed 23 hours.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":35,"isActive":false},"234":{"id":234,"heading":"Who is required to have workers' compensation insurance?","content":"Generally, any employer with 5 or more employees should have insurance. (Note: Certain exceptions apply to employment based on an independent or sub contract, farm and domestic employment, and to employment covered by Federal Law, such as maritime employment. See the The Mississippi Code, section 71-3-5.","extraContent":null,"urlPath":null,"faqCategory":"claimsDepartment","sortOrder":35,"isActive":true},"333":{"id":333,"heading":"I need to know if we should be paying a 23-hour surgery differently from an outpatient surgery. I have been paying them as the same but have been asked about why I do not pay observation charges in addition to the surgery. Which is correct?","content":"It is an outpatient surgery as long as it is under 24 hours. The definitions of observation are listed in the fee schedule. It states that we do not pay observation on standing orders. If you are referring to the calls from Methodist Rehab Center, this is nothing but outpatient surgery with standing orders for observation following outpatient surgery. I have told them to forward the disputes to me and I would be glad to look at them. They have just realized they are only getting $600 and $700 for outpatient surgeries. Outpatient is for a period not to exceed 23 hours.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":35,"isActive":true},"138":{"id":138,"heading":"The CPT's for pain management listed in the hospital fee schedule should be removed from the ASC list and the facility charges should be paid at the rates given in the Pain Management Section, in all cases. Is this correct?","content":"Yes","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":36,"isActive":false},"334":{"id":334,"heading":"The CPT's for pain management listed in the hospital fee schedule should be removed from the ASC list and the facility charges should be paid at the rates given in the Pain Management Section, in all cases. Is this correct?","content":"Yes","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":36,"isActive":true},"139":{"id":139,"heading":"In the lab section: for those codes that do not have an amount for the professional component, is it correct that we do not pay the facility and the physician both but only have to pay the facility the total component?","content":"Yes","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":37,"isActive":false},"335":{"id":335,"heading":"In the lab section: for those codes that do not have an amount for the professional component, is it correct that we do not pay the facility and the physician both but only have to pay the facility the total component?","content":"Yes","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":37,"isActive":true},"140":{"id":140,"heading":"I have a question about code 97545. On page 380 of the fee schedule under #19(b), it reads that this code is \"a one-time charge.\" Does this statement mean that the reimbursement of this code should be once per date of service or once per injury?","content":"It means once per injury","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":38,"isActive":false},"336":{"id":336,"heading":"I have a question about code 97545. On page 380 of the fee schedule under #19(b), it reads that this code is \"a one-time charge.\" Does this statement mean that the reimbursement of this code should be once per date of service or once per injury?","content":"It means once per injury","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":38,"isActive":true},"141":{"id":141,"heading":"We have a patient who had surgery in Birmingham, but a Mississippi physician is taking over her care post-op. The local physician billed for the surgical procedures with a modifier 55. I understand that the fee schedule says that is the appropriate way to bill his services, but I do not know how to pay him. Does he get a percentage of the allowance?","content":"He billed correctly; however, we do not have a policy on how to pay. The M.D.'s should agree on the percentage. However, it is usually 70% for the surgery and 30% for post-op. care.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":39,"isActive":false},"337":{"id":337,"heading":"We have a patient who had surgery in Birmingham, but a Mississippi physician is taking over her care post-op. The local physician billed for the surgical procedures with a modifier 55. I understand that the fee schedule says that is the appropriate way to bill his services, but I do not know how to pay him. Does he get a percentage of the allowance?","content":"He billed correctly; however, we do not have a policy on how to pay. The M.D.'s should agree on the percentage. However, it is usually 70% for the surgery and 30% for post-op. care.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":39,"isActive":true},"43":{"id":43,"heading":"What are the responsibilities of the Commission Secretary's Office?","content":"The Office of the Commission Secretary exists to support many areas of the Commission some of which include: the attesting of all Commission Orders; the processing of subpoenas; processing of appeals to the Full Commission and Circuit Court; the monitoring of Commission controverted files from the issuance of a Judges final order to the closing of the Commission controverted file; the development and maintenance of destruction schedules for Commission records.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":40,"isActive":false},"239":{"id":239,"heading":"What are the responsibilities of the Commission Secretary's Office?","content":"The Office of the Commission Secretary exists to support many areas of the Commission some of which include: the attesting of all Commission Orders; the processing of subpoenas; processing of appeals to the Full Commission and Circuit Court; the monitoring of Commission controverted files from the issuance of a Judges final order to the closing of the Commission controverted file; the development and maintenance of destruction schedules for Commission records.","extraContent":null,"urlPath":null,"faqCategory":"commissionSecretary","sortOrder":40,"isActive":true},"66":{"id":66,"heading":"Who is the Executive Director???s Staff?","content":"","extraContent":null,"urlPath":null,"faqCategory":"executiveDirector","sortOrder":63,"isActive":false},"78":{"id":78,"heading":"What are the responsibilities of the Information Systems Division?","content":"The Information Systems Division exists to support the hardware and software data systems which track and process Commission claim information, as well as to support the users of these systems.","extraContent":null,"urlPath":null,"faqCategory":"informationSystems","sortOrder":75,"isActive":false},"274":{"id":274,"heading":"What are the responsibilities of the Information Systems Division?","content":"The Information Systems Division exists to support the hardware and software data systems which track and process Commission claim information, as well as to support the users of these systems.","extraContent":null,"urlPath":null,"faqCategory":"informationSystems","sortOrder":75,"isActive":true},"84":{"id":84,"heading":"IMPORTANT NOTICE","content":"The parties should bring paper copies of all documents that are proposed exhibits to the evidentiary hearing -- one copy for the judge, one copy for each party, and one copy for any witness who may be asked to review the document. This is true even if the proposed exhibits were previously filed with the Commission. This will allow the judge and the parties to confirm at the evidentiary hearing the exact documents that will comprise the exhibit volume of the record.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":81,"isActive":false},"280":{"id":280,"heading":"IMPORTANT NOTICE","content":"The parties should bring paper copies of all documents that are proposed exhibits to the evidentiary hearing -- one copy for the judge, one copy for each party, and one copy for any witness who may be asked to review the document. This is true even if the proposed exhibits were previously filed with the Commission. This will allow the judge and the parties to confirm at the evidentiary hearing the exact documents that will comprise the exhibit volume of the record.","extraContent":null,"urlPath":null,"faqCategory":"hearingSection","sortOrder":81,"isActive":true},"102":{"id":102,"heading":"Disclaimer","content":"The Mississippi Workers Compensation Medical Fee Schedule cannot address all issues or questions which may arise in the course of the medical management of a workers compensation claim. However, both providers and payers should use common sense, make a good faith effort, and be reasonable in their handling of claims.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":99,"isActive":false},"298":{"id":298,"heading":"Disclaimer","content":"The Mississippi Workers Compensation Medical Fee Schedule cannot address all issues or questions which may arise in the course of the medical management of a workers compensation claim. However, both providers and payers should use common sense, make a good faith effort, and be reasonable in their handling of claims.","extraContent":null,"urlPath":null,"faqCategory":"mfs2002","sortOrder":99,"isActive":true},"142":{"id":142,"heading":"Disclaimer","content":"The Mississippi Workers Compensation Medical Fee Schedule cannot address all issues or questions which may arise in the course of the medical management of a workers compensation claim. However, both providers and payers should use common sense, make a good faith effort, and be reasonable in their handling of claims.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":139,"isActive":false},"338":{"id":338,"heading":"Disclaimer","content":"The Mississippi Workers Compensation Medical Fee Schedule cannot address all issues or questions which may arise in the course of the medical management of a workers compensation claim. However, both providers and payers should use common sense, make a good faith effort, and be reasonable in their handling of claims.","extraContent":null,"urlPath":null,"faqCategory":"mfs2010","sortOrder":139,"isActive":true},"164":{"id":164,"heading":"Disclaimer","content":"The Mississippi Workers Compensation Medical Fee Schedule cannot address all issues or questions which may arise in the course of the medical management of a workers compensation claim. However, both providers and payers should use common sense, make a good faith effort, and be reasonable in their handling of claims.","extraContent":null,"urlPath":null,"faqCategory":"mfs2013","sortOrder":161,"isActive":false},"360":{"id":360,"heading":"Disclaimer","content":"The Mississippi Workers Compensation Medical Fee Schedule cannot address all issues or questions which may arise in the course of the medical management of a workers compensation claim. However, both providers and payers should use common sense, make a good faith effort, and be reasonable in their handling of claims.","extraContent":null,"urlPath":null,"faqCategory":"mfs2013","sortOrder":161,"isActive":true},"176":{"id":176,"heading":"Disclaimer","content":"The Mississippi Workers Compensation Medical Fee Schedule cannot address all issues or questions which may arise in the course of the medical management of a workers compensation claim. However, both providers and payers should use common sense, make a good faith effort, and be reasonable in their handling of claims.","extraContent":null,"urlPath":null,"faqCategory":"mfs2016","sortOrder":173,"isActive":false},"372":{"id":372,"heading":"Disclaimer","content":"The Mississippi Workers Compensation Medical Fee Schedule cannot address all issues or questions which may arise in the course of the medical management of a workers compensation claim. However, both providers and payers should use common sense, make a good faith effort, and be reasonable in their handling of claims.","extraContent":null,"urlPath":null,"faqCategory":"mfs2016","sortOrder":173,"isActive":true},"186":{"id":186,"heading":"Providers are now requiring testing for COVID-19 prior to treatment. Is this covered in the Fee Schedule?","content":"During 2020, CMS and the AMA have established a series of laboratory and HCPCS codes for reporting services related to COVID-19.
The following codes are the only codes that are allowed by Mississippi Workers??? Compensation Commission, effective March 15, 2020:
CodeDescriptionAmount
87635IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ84.59
U00012019-NCOV DIAGNOSTIC P59.22
U0002COVID-19 LAB TEST NON-CDC84.59
","extraContent":null,"urlPath":null,"faqCategory":"mfs2019","sortOrder":183,"isActive":false},"382":{"id":382,"heading":"Providers are now requiring testing for COVID-19 prior to treatment. Is this covered in the Fee Schedule?","content":"During 2020, CMS and the AMA have established a series of laboratory and HCPCS codes for reporting services related to COVID-19.
The following codes are the only codes that are allowed by Mississippi Workers??? Compensation Commission, effective March 15, 2020:
CodeDescriptionAmount
87635IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ84.59
U00012019-NCOV DIAGNOSTIC P59.22
U0002COVID-19 LAB TEST NON-CDC84.59
","extraContent":null,"urlPath":null,"faqCategory":"mfs2019","sortOrder":183,"isActive":true},"187":{"id":187,"heading":"What are the responsibilities of the MWCC Rehabilitation Department?","content":"The Rehabilitation Department reviews all First Report of Injuries that is reported. The purpose is identify the catastrophically injured worker. The commission shall cooperate with federal, state, and local agencies in the rehabilitation of handicapped workers, and shall promptly report to the proper authority industrial injury cases in which retraining or job placement may be needed.","extraContent":null,"urlPath":null,"faqCategory":"rehabilitationDivision","sortOrder":184,"isActive":false},"383":{"id":383,"heading":"What are the responsibilities of the MWCC Rehabilitation Department?","content":"The Rehabilitation Department reviews all First Report of Injuries that is reported. The purpose is identify the catastrophically injured worker. The commission shall cooperate with federal, state, and local agencies in the rehabilitation of handicapped workers, and shall promptly report to the proper authority industrial injury cases in which retraining or job placement may be needed.","extraContent":null,"urlPath":null,"faqCategory":"rehabilitationDivision","sortOrder":184,"isActive":true},"192":{"id":192,"heading":"What are the responsibilities of the Self Insurance Department?","content":"The department is responsible for regulating both individual and group self insurers for the Mississippi Workers' Compensation Commission. The Commission approves rates, establishes solvency requirements, audits groups, and approves both individual and group self insurers in Mississippi. Additionally we monitor all self insurers, both group and individual companies, to ensure compliance on of Commission requirements. Today there are approximately 120 individual companies and 13 groups operating with Certificates of Authority issued from the Commission.","extraContent":null,"urlPath":null,"faqCategory":"selfInsurance","sortOrder":189,"isActive":false},"388":{"id":388,"heading":"What are the responsibilities of the Self Insurance Department?","content":"The department is responsible for regulating both individual and group self insurers for the Mississippi Workers' Compensation Commission. The Commission approves rates, establishes solvency requirements, audits groups, and approves both individual and group self insurers in Mississippi. Additionally we monitor all self insurers, both group and individual companies, to ensure compliance on of Commission requirements. Today there are approximately 120 individual companies and 13 groups operating with Certificates of Authority issued from the Commission.","extraContent":null,"urlPath":null,"faqCategory":"selfInsurance","sortOrder":189,"isActive":true},"403":{"id":403,"heading":"Any updates for rate increase for Home Health Services?","content":"Yes, for Home Health and Private Duty Care.

\n\nHome health per visit\n\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
Service20192022
RN Skilled Nursing125.00140.00
LPN Skilled Nursing105.00115.00
PT/OT/Speech125.00135.00
Home Health Aide55.0060.00
\n

\nPrivate duty care per hour\n\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
Service20192022
RN Skilled Nursing44.0050.00
LPN Skilled Nursing37.0040.00
CNA care20.0022.00
Personal Care attendant15.0017.00
Unlicensed relative8.0015.00
\n

\nParenteral therapy/home infusion rates increased.","extraContent":null,"urlPath":"","faqCategory":"mfs2022","sortOrder":402,"isActive":true}}}