Question 1

What is DOL/OWCP billing and how is it different from Medicare?

Accepted Answer

The U.S. Department of Labor's Office of Workers' Compensation Programs (OWCP) is a separate system from Medicare. It has its own fee schedule, its own portal (WCMBP at owcpmed.dol.gov), and its own authorization process. Claims are processed quickly when filed correctly. TP Medical specializes in navigating this distinct federal billing pathway.

Question 2

Is provider enrollment with OWCP free?

Accepted Answer

Yes. Provider enrollment with OWCP is free. Providers enroll via the OWCP-1168 form through the WCMBP Portal at owcpmed.dol.gov. There is no cost to enroll with the federal program itself.

Question 3

What does DOL credentialing cost through TP Medical?

Accepted Answer

TP Medical offers full DOL credentialing for a flat fee of $400. The first authorization is included at no cost for new providers. This covers form preparation, provider enrollment, tracking of CLIA, CAQH, DEA, NPI, and MA registration, plus re-credentialing support.

Question 4

How long does it take to process claims?

Accepted Answer

TP Medical processes claims within 24 hours and submits them within three business days. 95% of DOL and Workers' Comp claims are paid within 60 days. Our AR days are consistently under 45, with old AR under 10%.

Question 5

Can you recover previously underpaid claims?

Accepted Answer

Yes. We can recover previously underpaid claims for up to five years. Our free 12-month claims audit reviews your last year of DOL claims to identify missed or underpaid reimbursements at no cost and no obligation.

Question 6

How far in advance can you obtain treatment authorization?

Accepted Answer

We assist with obtaining authorization for medical treatment up to six months in advance. Our authorization approval rate exceeds 95%. You can check case-approved DX/CPT codes in the OWCP portal and pre-authorize treatment plans.

Question 7

What types of providers do you work with?

Accepted Answer

TP Medical works with chiropractors, hospitals, medical clinics, physical therapy providers, wound care specialists, and durable medical equipment (DME) providers. We tailor our billing approach to each provider type's specific requirements.

Question 8

What is included in your free revenue recovery estimate?

Accepted Answer

Our free revenue recovery estimate shows how much revenue your practice may be leaving on the table. It is delivered within 48 hours and includes an analysis of your claims data to identify gaps in reimbursement, denial patterns, and recovery opportunities.

Question 9

What is PARCS software?

Accepted Answer

PARCS is TP Medical's proprietary claims processing and RCM system. It features a unique series of checks and balances enabling quick turnaround time under a 'no error, no delay' policy. Each client is assigned a dedicated Account Manager who oversees the full revenue cycle.

Federal billing, demystified