Chiropractors are automatically accredited with the WCB through the Saskatchewan Medical Services Branch (MSB). Learn about accreditation, authorization to treat, billing, payments, reporting to the WCB and what forms you need.
Chiropractors are automatically accredited with the WCB through the Saskatchewan Medical Services Branch (MSB). Once in place, chiropractors use their MSB billing number to bill the WCB for services to injured workers.
Your chiropractic license includes a direct access provision, which means you can treat customers without referral by another licensed provider.
However, within three days of beginning treatment, you need to forward a Chiropractor’s Initial Report (CHI) form to the WCB detailing your initial findings. This form is required for the WCB to confirm funding of chiropractic care. Reoccurrences require WCB’s authorization to treat – see Practice Standards for Primary Level Chiropractic Service Providers.
If the patient’s claim is later denied or benefits terminated, we will notify you that we cannot pay for further assessment or treatment. We will pay for the intake assessment, the initial report and any treatment given up to the date of the termination notice. We will also pay reporting fees to the date of notice.
Until we let you know if a patient’s claim is denied or benefits terminated, Medical Services Branch, other insurers, and/or the worker shall not be billed for any treatment or portion of treatment.
The schedule of payments for services and reporting fees are established by the WCB in negotiation with the Chiropractors Association of Saskatchewan.
Payment can only be issued if the invoice meets our criteria. The following information is required:
Follow the fee schedule agreed to by your professional association. Review the complex case criteria to determine which injuries are considered complex and would require more intensive and frequent management by a practitioner.
Keep a daily record of the service you provide to our customers in case an audit is required.
If the WCB receives an application for payment after a 12-month period from the time the medical aid is provided to an injured worker, the WCB will not pay any account rendered by a physician, surgeon, hospital or other health care professional or institution. See WCB Procedure, Medical Aid Billings – Payment (PRO 53/2006).
By submitting WCB invoices online, they will be processed through an automatic payment process. This means your invoices will be paid sooner than if you fax or email them to us.
Online submission methods:
Save time and give your users the ability to upload invoices online.
Eliminate entry duplication by uploading invoices from your system to the WCB website. Here is the document with instructions on how to update your software: Everything a vendor needs to know.
Here are the files needed for updating your system to be compatible with the medical invoice batch submission process:
If you have any questions with the batch submission process or are ready to test your system with us, please contact the webmaster.
Vendors who are already capable of uploading batch invoices:
|Accuro/QHR Techologies||CBS Navicert Software|
The WCB issues payment to care providers weekly and provides statements to confirm the payments were issued. These statements may include explanatory codes to provide details regarding specific services.
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. Prompt reporting allows the WCB to arrange timely payment of benefits to injured workers.
Under legislation, care providers do not require a signed release from an injured worker in order to provide medical information to the WCB because:
Use the following forms to provide information about treatment, functional recovery, and response to treatment. Please fill out reports completely and legibly and fax them to WCB as quickly as possible. The WCB cannot pay for illegible or incomplete reports.
Only the customer’s FOM score should be submitted to the WCB, not the form itself. The score is to be reported on the Chiropractor’s Initial Report.
There is a two-tier fee for CHI and CHP reports: one for reports that include FOM scores and a lower fee for those that do not include the scores.
Reporting fees are paid by the WCB where the care provider invoices the appropriate fee. If more than one report is received in the same day, only one report fee is paid. The WCB will not pay for illegible or incomplete reports.
The WCB has a “View client information” application available for primary level chiropractors and physical therapists to use through their WCB online account. This application provides you with the ability to easily view medical documents online for an injured worker that you are treating. As soon as a new report comes in for your claim, you will automatically be able to view it.
The “View client information” application will allow you to see medical reports from other care providers, as well as referrals the WCB is making to specialists, diagnostics, assessment teams, etc. Assessment team reports do not appear on the “View client information” application as the assessment team will send a copy of the summary report to all current providers and a copy of the complete report to the primary care provider and surgeon.
You must have a WCB online account to view medical documents online for injured workers you are treating. You must have an online report submitted before the “View client information” application will be available to you. You also must complete online reporting regularly to use “View client information.”
Return to work and active lifestyle should generally be part of each worker’s treatment plan. For more information, see our recovery and return to work page.
For soft tissue injuries, refer to the Primary Chiropractic and Physical Therapy Soft Tissue Treatment Guidelines.
When acting as the primary care provider, chiropractors may refer WCB customers to other care providers. Referrals must identify the medical limitations and goals and objectives of treatment.
Please note: Referrals do not constitute authorization to treat. If you refer WCB customers to non-physician providers, the providers must contact the WCB for authorization to treat the referred customers on a file-by-file basis.
When treating WCB customers, care providers assume certain roles and responsibilities. The WCB relies on all care providers to ensure that:
When treating WCB customers, chiropractors will:
Learn about when a Medical Review Panel can be considered and the information that is required from the worker and the worker’s physician.
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