Physicians’ And Pharmaceutical Fee Schedule Update

Medical Resource Office Training Opportunities

The Medical Resource Office has prepared updated training materials and will be providing valuable information and insight that will benefit stakeholders in the Arizona Workers’ Compensation system. 

In addition to the training tracks listed below. The Medical Resource Office is offering an overview of the updates to the 2023/2024 Physicians’ and Pharmaceutical Fee Schedule. This year’s update is significant and includes the addition of two new sections. Your attendance will ensure your organization understands the updates and the appropriate application of the newly added HCPCS codes and guidelines. 

2023/2024 Physicians' and Pharmaceutical Fee Schedule Updates

Date Time Register Link
09/25/2023 10:00 AM Register Here
09/28/2023 02:00 PM Register Here
10/04/2023 10:00 AM Register Here
10/11/2023 09:00 AM Register Here


The Healthcare Provider Training track includes the following 30-minute webinars:

Arizona Workers’ Compensation System Overview for Healthcare Providers

This training provides the basic information healthcare providers need to know in order to provide services within the workers’ compensation system. Topics covered include certification, required documentation and forms, treatment guidelines, the Fee Schedule, and providing testimony at hearings. Even healthcare providers with experience treating injured workers will improve their knowledge about the system from this training.

Preauthorization and Peer Review Training for Healthcare Providers

Most patients respond favorably to evidence-based medicine treatments. What should you do when faced with a patient who is not responding as expected? Attend this webinar and learn about the preauthorization process and how healthcare providers can effectively and formally preauthorize treatment that deviates from guidelines. Improve your knowledge about utilizing peer reviews to justify deviations from treatment guidelines. Most importantly, healthcare providers who attend this webinar will gain confidence in the treatment provided to injured workers and their ability to receive appropriate reimbursement from payers in Arizona’s workers’ compensation system.

Billing, Appeals, and Disputes for Healthcare Providers

Improve billing and collection practices with your workers’ compensation patients. The Medical Resource Office will thoroughly cover everything healthcare providers need to know to document and bill payers for services rendered to injured workers. The office reviews how to appeal payments from carriers that may not have been reimbursed appropriately. The training also discusses the informal payment dispute resolution program offered by the office to assist providers who have appealed to payers with unsuccessful results.

Arizona Workers’ Compensation Requirements for Healthcare Providers

Are you familiar with all the forms, documents, and additional requirements for healthcare providers who treat injured workers in Arizona? The Medical Resource Office will review the Arizona statutes and rules that govern the treatment of injured workers. Participants will improve their understanding of the expectations for healthcare providers who treat injured workers. Please note that no one in the Medical Resource Office is an attorney, the training will cover the statutes and rules, yet no legal advice will be given.
 

The training track for payers, adjusters, and third-party administrators includes the following one-hour webinars:

Treatment Guidelines, Preauthorization, and Peer Review for Adjusters

This training is designed to inform payers about their responsibilities regarding the Treatment Guidelines and the preauthorization process. The training reviews the Treatment Guidelines and how they apply to injured workers. Participants will be informed of expectations when healthcare providers submit preauthorization requests including crucial timelines and guidelines on responses. Every adjuster who manages Arizona claims should attend this training and be informed on important timelines pertaining to the preauthorization process.

Working With Healthcare Providers

Claims adjusters and third-party administrators work with healthcare providers on a regular basis. This webinar focuses on the interactions and guidelines that govern those interactions. The Medical Resource Office will review important timelines and proper management of provider disputes and appeals. Additionally, the webinar will discuss medical records and options to improve the collection of crucial records and progress/status notes. The webinar also reviews appropriate services injured workers should receive in the Arizona workers’ compensation system.

What Payers Should Know About the Fee Schedule

This training reviews key elements of the Arizona Physicians’ and Pharmaceutical Fee Schedule (Fee Schedule) that benefit payers and third-party administrators involved in the Arizona workers’ compensation system. The Medical Resource Office will review timelines associated with the annual Fee Schedule update and the processes that provide opportunities for stakeholder participation. Examples will be provided to provide additional knowledge that may assist payers in determining reasonable healthcare benefits.

 

Please select the date and time from the links below to register for a live webinar. You will receive a confirmation email with the URL for the webinar within the body of the email. You will NOT receive a calendar invite so please update your calendar and include the link to join the webinar.
Please note the ICA uses the Google Suite, and webinars are conducted with Google Meet. The transition to G Suite may require participants to have a Google Account.
Before the Webinar, please confirm with your IT department that you are able to:

  • Achieve connectivity to our resources such as Google Forms and Google Meet
  • Install or use Google Chrome as it is the preferred browser for the G Suite products


Please note, all times are listed in Arizona time.
 

Healthcare Provider Training Track

Arizona Workers’ Compensation System Overview for Healthcare Providers

Date Time Register Link
10/06/2023 12:00 PM Register Here

Preauthorization and Peer Review Training for Healthcare Providers

Date Time Register Link
10/13/2023 12:00 PM Register Here

Billing, Appeals, and Disputes for Healthcare Providers

Date Time Register Link
10/19/2023 12:00 PM Register Here

Arizona Workers’ Compensation Requirements for Healthcare Providers

Date Time Register Link
10/27/2023 12:00 PM Register Here

 

Payer, Adjuster, and Third-Party Administrator Training Track

Treatment Guidelines, Preauthorization, and Peer Review for Adjusters

Date Time Register Link
10/26/2023 10:00 AM Register Here

Working With Healthcare Providers

Date Time Register Link
     

What Payers Should Know About the Fee Schedule

Date Time Register Link