Tennessee Workers’ Comp to Go All Electronic

June 6, 2017

Tennessee’s Bureau of Workers’ Compensation is implementing steps to require providers who treat injured workers, as well as workers’ compensation payers, to go all electronic for claims billing and payment in 2018. Draft rules implementing the system will soon be published for comment, but healthcare providers need to ramp up now in order to be in compliance by the deadline, tentatively set for June 1, 2018. Unless a healthcare organization, such as a medical practice, employs 10 or less full-time employees or submits less than 120 bills for workers’ compensation in 2017, compliance will be required.

Providers filing Tennessee workers’ compensation claims after the compliance deadline must be able to exchange medical bill data; submit medical bills to workers’ compensation payers; submit medical records documentation; and receive acceptance or rejection acknowledgment from a payer – all by electronic means and according to established ASCX12 standards as will be set forth in the upcoming rules. Workers’ compensation payers must be able to receive bills and remit payment electronically.

When the proposed rules implementing e-billing for the workers’ compensation system are published for comment, TMA will alert members. Eight other states have implemented workers’ comp e-billing.

“With other states having already implemented e-billing for workers’ comp and our Bureau having had close communications with them, most of the bugs should be worked out when Tennessee rolls it out next year,” TMA General Counsel Yarnell Beatty said. “TMA will compile rule comments based on member input and closely monitor the process in the hope that TMA members do not experience payment disruptions. In fact, if it works, physicians will be paid faster for treating injured workers.”