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Save the date: Virtual Provider Forum, Jan. 24, 2024
Join us for our first virtual Provider Forum, from noon to 1 p.m., Jan. 24, 2024. We will address common questions and share tips to enhance your BWC provider experience.
Here is an example:
- How can a provider ensure services are reimbursed?
- How does creating an e-account impact completing administrative tasks associated with workers’ compensation?
For more information, contact Janeece Keyes-Shanklin, director of provider experience at janeece.k.1@bwc.ohio.gov.
You may also register using this link:
https://stateofohiobwc.webex.com/weblink/register/rdcf7243f7bcadf287ab8f7a3f6bb0507
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Meet BWC’s Provider Engagement regional directors
We understand providers and office members may feel overburdened by administrative tasks and paperwork. However, our directors are here to lighten your load. Our Provider Engagement regional directors —Jennifer Wolford, RN (northern Ohio) and Gabrielle Walton, RN (central, southern Ohio)— serve as your personal contacts at BWC. They offer you the latest updates, expertise, and convey information about issues or concerns that need immediate attention.
 Upon request, they may offer you and your staff:
- An orientation of BWC procedures and guidelines
- Ongoing education and training
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Tips to simplify workers’ compensation processes
Our goal is to build a lasting relationship with you and your staff members and to ensure quality, timely services for Ohio’s injured workers.
When should you contact a Provider Engagement director?
Reach out to us as soon as you need help with workers’ compensation and injury-management issues. We are your one-stop shop and serve as your personal concierge and connection to BWC and its leadership.
If you have not met one of our Provider Engagement directors or want to schedule an in-office training or a meeting for your workers’ compensation questions or concerns, please contact us at: bwcproviderengagement@bwc.ohio.gov.
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Become a BWC-accredited transitional work developer
Join our team of return-to-work experts and learn how to develop transitional work plans for Ohio’s employers. You will then receive BWC’s accreditation as a transitional work developer.
Orientation classes, dates
Our orientation class is also open to anyone interested in learning more about our remain-at-work strategies and transitional work services.
The virtual class will be from 9 a.m. – noon, Dec. 12 and from 1 – 3 p.m., Dec. 14. To receive accreditation, the attendee must attend both sessions and be a provider with one of the following certifications/accreditations:
- American Board of Vocational Experts
- Occupational Health Nursing
- Certified Rehabilitation Counselor
- Certified Disability Management Specialist
- Certified Vocational Evaluator
- Certified Rehabilitation Nurse
- Certified Case Manager
- Physical or occupational therapist license from the Ohio Occupational Therapy, Physical Therapy and Athletic Trainer Board
Once you complete both accreditation classes, qualified providers hold the distinction of being a BWC-accredited transitional work developer and then you may submit transitional work plans to BWC.
Interested providers need to email the Transitional Work Developer’s Application (TWD-115) to TWSupport@bwc.ohio.gov.
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Recent updates to explanation of benefit (EOB) codes effective Jan. 1, 2024
BWC is making improvements in the way adjustments and voids are processed. These improvements include creating 11 new codes to identify the specific reason an adjustment or void was executed.
Managed care organizations (MCOs) and providers can request bill adjustments and voids with these updates differentiating the circumstances. Updates are also being made to four EOB codes to clarify the descriptive reasons for denials or payment impacts.
Of special interest to providers is the description change in EOB 096. This EOB was updated to provide clarity about the reason for the denial when another outpatient hospital bill was submitted for the same date of encounter for the same injured worker and the same facility. BWC is also expiring five EOB codes that are not being used or were replaced by other codes during this recent reconciliation.
For more information
Providers with any questions about EOB changes may reach out directly to the MCO to discuss the specific bills and EOB responses in question. Relevant EOB updates will be published Jan.1 in the EOB Lookup Tool on our website, as well as in the EOB link embedded in Billing and Reimbursement Manual Policy, BRM-26, General Billing Guidelines.
 Save the date! *Update*
BWC’s Medical & Health Symposium is now in the fall 2024!
The 9th Annual Medical & Health Symposium will be held Nov. 13-15, 2024. Last year’s event was a huge success, registration exceeded 7,600 providers, administrators, and legal professionals from 37 countries, and all 50 states. Join us for an event packed full of free continuing education sessions, networking, exhibitors, and more. Planned topics for the 2024 Medical Symposium are:
- Artificial intelligence (AI) in Medicine.
- Occupational Health updates.
- BWC programs and initiatives.
- Workers’ Compensation Administration.
- Provider wellness and burnout.
- Live surgery.
If you have questions or are interested in becoming a presenter or an exhibitor, send an email to medsymposium@bwc.ohio.gov or call 1-800-477-2292 for more information.
Plan to join us next November!
OHID update
We are proud to introduce an exciting development aimed at revolutionizing your online experience with us. The OH|ID pre-registration for our external customer logins is now underway. In early 2024, BWC customers will begin logging in using OH|ID and 2-Step Verification, replacing existing e-account login credentials. This marks a significant step forward in ensuring more accessible and secure online services for BWC customers. OH|ID impacts a range of individuals and entities, including employers, providers, injured workers, authorized representatives, and managed care organizations (MCOs). For more information please visit: OH|ID for BWC customers | Bureau of Workers' Compensation (ohio.gov).
Upcoming meetings
All public meetings of the Health Care Quality Assurance Advisory Committee (HCQAAC), MCO Medical Directors, MCO Quality of Care committee, and Pharmacy & Therapeutics committee are in-person meetings at BWC’s William Green Building (30 W. Spring St. Columbus, Ohio).
The next scheduled meetings are:
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MCO Directors Meeting from 10 a.m. – noon, Jan. 10, 2024
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HCQAAC from 10 a.m. – noon., Feb. 14, 2024
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Pharmacy & Therapeutics committee from 1 – 3 p.m., Feb. 14, 2024
To request an accommodation due to a disability for this event, contact BWC ADA Coordinator Kathleen Bourke. You may call 614-644-7811 or email eeodept@bwc.ohio.gov, at least one week prior to the meeting date.
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Are there BWC services or programs you’d like to learn more about? Do you have questions about forms or procedures? We want to hear from you about what you’d like to see more of in our Provider Update.
Send your comments and suggestions by email or call our dedicated Provider Contact Center at 1-800-477-2292
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Ohio Bureau of Workers’ Compensation
Vision: To transform BWC into an agile organization driven by customer success.
Mission: To deliver consistently excellent experiences for each BWC customer every day. Core Values: One Agency, Personal Connection, Innovative Leadership, Relentless Excellence.
Established in 1912, the Ohio Bureau of Workers’ Compensation is the exclusive provider of workers’ compensation insurance in Ohio, serving 257,000 public and private employers. With nearly 1,600 employees and assets of approximately $21 billion, BWC is one of the largest state-run insurance systems in the United States. For more, visit bwc.ohio.gov.
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