Optometrists 2017-05-18T15:52:30+00:00

By discipline: Optometry

 

Fee Schedule

Optometrists are accredited with Saskatchewan Health and are, therefore, automatically accredited with the WCB and authorized to treat WCB customers.

In treating WCB customers, optometrists will:

  • Comply with the Saskatchewan Health standards of care and fee schedule established for your professional group;
  • Demonstrate ethical practice standards on a day-to-day basis, including disclosure to any perspective WCB customer of any business relationship you may have with their employer. This allows the worker to make an informed decision regarding their choice of care provider; and
  • Refrain from using their affiliation with the WCB in any advertising for their services.

When an injury claim is disallowed:

  • Optometrists are reimbursed by MSP for treatment provided; and
  • The WCB pays all reporting fees.
  • Optometrists invoice us for services provided to WCB customers following the Saskatchewan Medical Services Plan (MSP) payment schedule and assessment rules and WCB Physicians’ fee schedule for WCB specific fees;
  • If an invoice is sent incorrectly to the Medical Services Plan, it will be sent back to the health care provider. The MSP also requires that an invoice sent incorrectly to the WCB be returned to the caregiver for resubmission; and
  • Payments for non-MSP insured services and reporting fees are established by the WCB in negotiation with professional associations representing physicians, chiropractors and physiotherapists.

To expedite payment for services:

  • Retain your daily record of services provided so we can schedule a regular review of actual billings to your record;
  • Summarize all services provided during the billing period using the Doctor’s Billing (DOC) form or your own invoice form;
  • Follow the fee schedule agreed to by your professional association;
  • Forward the completed invoice to us. If you use a different format, make sure to include all the information requested;
  • To make adjustments to previous billing periods use the Doctor’s Billing (DOC) form or your own invoice form; and
  • Submit a Direct Deposit Application to receive your payments by electronic transfer.

Health care providers, like employers and workers, are required to report to the WCB any injury that requires medical attention, whether or not the worker needs time off work beyond the day of the injury.

Primary practitioners are required to provide a letter to report all injuries, including those that do not result in time off work. Prompt reporting allows the WCB to arrange timely payment of benefits to injured workers.

We issue payment to caregivers weekly and provides vouchers to confirm that the payments that were issued. These vouchers may include explanatory codes to provide detail regarding specific services.

You are encouraged to register for a secure @WCB Online Services account, which will allow you to view medical documents and your cheque history.