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RULE CHANGES IN WORKERS COMPENSATION PROGRAM MAY AFFECT NDS

Saturday, April 06, 2013   (0 Comments)
Posted by: Brook Schales
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The Workers Compensation Program has proposed several rule changes that became effective April 1, 2013 and which may affect most provider groups who see work comp patients, including NDs. The rules can be found online in both PDF and Word formats. Contact the Workers’ Compensation Division with any questions at 503-947-7606 or email wcd.medicalquestions@state.or.us. The following is a summarized list of the changes made that specifically affect naturopathic doctors. 

Revised OAR 436-009, "Oregon Medical Fee and Payment Rules”:
  • Adopt updated medical fee schedules (Appendices B, C, D, and E).
  • Clarify conditions under which billings may be returned for correction.
  • Prescribe payment criteria for time-based CPT® codes for physical medicine and rehabilitation services.
  • Establish a maximum allowable payment for a copy of medical records in an electronic format. 

Revised OAR 436-010, "Medical Services”:
  • Specify limitations on an employer or insurer representative's right to attend a patient’s medical examination, and describe conditions for release of medical records to the representative.
  • Clarify treatment plan requirements for services of ancillary medical service providers.
  • Prescribe treatment plan requirements for services of licensed massage therapists.


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OREGON ASSOCIATION OF NATUROPATHIC PHYSICIANS
PO Box 5876
Portland, OR 97228

Phone: 503-262-8586