Bills an injured worker receives at home are most likely not on the HCFA-1500 form and should not be submitted to OWCP as they are not payable in that format and will only be returned. The HCFA-1500 is not required for treatment and supplies provided by hospitals, pharmacies, ambulance services and nursing homes. The HCFA-1500 should also include the provider's ink signature or facsimile stamp. A copy of the discharge summary should be submitted with the bill from the hospital. Pharmacy, ambulance service, nursing home, and medical supply bills may be itemized on the provider's billhead stationary or a HCFA-1500.
Chiropractic care is only payable when the accepted condition is a subluxation of the spine.
All other charges will be denied. Each bill must show the condition treated, the date of service, and the treatment performed. They may NOT use the state workers' compensation codes. Dentists, visiting nurses, hospital inpatient care and medical appliances, such as orthotics, do NOT require coding but must be approved by OWCP in advance. Physical therapy bills must be itemized by date and have a separate line item with specific CPT code for each modality.