Built for OWCP.

OWCP Claim Submission

We file CA-16, CA-20, OWCP-1500 and FECA claims directly through the OWCP Medical Bill Processing Portal (WCMBP). Every claim is scrubbed against current OWCP fee schedule edits, modifier rules, unit-structure logic, and accepted-condition cross-checks before it leaves our office. Clinics see first-pass acceptance rates above 95% inside the first quarter.

Capabilities

• WCMBP filing (CA-16, CA-20, OWCP-1500, FECA)
• Pre-submission edits against OWCP fee schedule
• Unit-structure verification on every encounter
• Accepted-condition and authorization cross-check

Denial Management & Follow-Up

Denials under OWCP are not denials in the commercial sense. Most are recoverable through the right path: a corrected resubmission with the missing modifier or accepted-condition link, a bill adjustment request, a fee-schedule appeal, or — when the issue is case-level rather than bill-level — a referral to the claimant for hearing or reconsideration. We work backwards through 24+ months of denied claims, route each to the correct track, rebuild the documentation chain, and resubmit. Recovery rates on aged denial books typically run 60–75% of original billed value.

Capabilities

• Bill adjustments and corrected resubmissions through the WCMBP
• Fee-schedule appeals on contested allowables
• Coordination on claimant-side reconsiderations and Branch of Hearings and Review filings
• OWCP-915 reimbursement filings for out-of-pocket
• Aged-A/R cleanup down to 24-month look-back

Payment Tracking

We run a weekly payment-tracking cadence: aging bucket review, payer follow-up, posting, and reconciliation against your WCMBP remittance. You receive a dated A/R report every Monday, with claims sorted by age, status, and likely path to payment. No black box, no monthly mystery — every dollar accounted for.

Capabilities

• Weekly payment reports with aging buckets
• WCMBP remittance reconciliation against EFTs
• Patient-responsibility statements and follow-up
• Cash forecast: 30 / 60 / 90-day expected receipts

Revenue Optimization

OWCP uses its own fee schedule, its own unit structure, and its own modifier rules. A coder fluent in commercial payers will undercode an OWCP visit by 18–24% on average. Our certified coders audit chart notes against the procedures actually performed and the codes OWCP accepts, then train your providers on the documentation OWCP expects to see in the SOAP note. We optimize the entire revenue cycle, not just submit claims.

Capabilities

• Quarterly chart audits against OWCP rules
• Provider documentation training (1:1 sessions)
• Net-collection-ratio diagnostic and remediation
• Modifier and place-of-service correction at the encounter

Billing Audits — Free Review

Send us read-only access to your last quarter on the OWCP Medical Bill Processing Portal (WCMBP). Inside ten business days you receive a written diagnostic of the three most expensive errors we found and the order we would fix them. The audit is free, and there is no obligation to engage afterwards. If we are not the right firm, we tell you that on the diagnostic call.

Capabilities

• Free 90-day denial diagnostic on every new clinic
• Written report with prioritized remediation order
• Net-collection-ratio benchmark against peer practices
• Pricing and engagement scope inside the diagnostic call