Workers’ Compensation Revenue Cycle & Recovery Services
Specialized Billing, Collections & Litigation Support for Medical Providers and QME Doctors
Doctor Management Services (DMS) is a specialized medical billing and collections company supporting healthcare providers with the administrative and financial complexities of California Workers’ Compensation.
From submitting the initial bill to pursuing unpaid balances, DMS provides a coordinated process covering billing, AR follow-up, payment recovery, litigation support, and Cost Petitions.
Our goal is to help medical providers and QME doctors reduce administrative workload, improve visibility into their outstanding accounts, and recover revenue that may otherwise remain unpaid.
Core Workers’ Compensation Services
1. Workers’ Compensation Billing
DMS manages the billing process from submission through payment tracking.
- Electronic submission of bills through clearinghouses
- RFA and medical-record submission
- CPT and ICD-10 coding review
- ML2 coding for medical-legal services
- Rejected and denied claim management
- EOR review
- SBRs and appeals within applicable timeframes
- Payment and billing reconciliation
For QME Doctors: We also support the billing and follow-up process associated with QME and medical-legal services.
2. Workers’ Compensation AR & Collections
Outstanding WC accounts require consistent follow-up. DMS works directly with carriers, claims administrators, adjusters, and other responsible parties to pursue unpaid balances.
- Aging AR analysis
- Insurance verification
- Adjuster and claims administrator follow-up
- Unpaid and underpaid claim recovery
- EOR analysis
- Payment reconciliation
- Account status tracking
- Escalation of unresolved balances
Our team continues working the account rather than allowing unpaid claims to remain dormant.
3. Payment Redemption & Recovery
Getting an account resolved is only part of the process. DMS continues tracking the payment through completion.
- Payment status follow-up
- Check and payment tracking
- Verification of issued payments
- Payment reconciliation
- Follow-up on outstanding settlement payments
- Ensuring payments are issued to the provider in a timely manner
4. Litigation & Cost Petitions
When administrative collection efforts are unsuccessful, DMS can assist with the next stage of recovery.
- NOR/DOR filings
- Lien preparation and filing
- Lien conference support
- Lien trial support
- Medical-legal dispute support
- Cost Petition preparation and follow-up
- Continued communication with defense and claims administrators
The objective is to pursue the account through the appropriate process while keeping the provider informed throughout the matter.
Our Workers’ Compensation Fee Structure
I would make the pricing section a clean table rather than putting percentages into paragraphs:
|
Service |
DMS Fee |
What It Includes |
|
WC Billing |
10% |
Bill submission, RFA/records submission, coding review, denials, EORs, SBRs & appeals |
|
WC Collections |
15% |
AR follow-up, carrier/adjuster communication, unpaid & underpaid claim recovery |
|
Payment Redemption |
Included |
Payment tracking, check follow-up & reconciliation |
|
Litigation Support |
Contact DMS |
NOR/DOR, lien conferences, lien trials & litigation support |
|
Cost Petitions |
Contact DMS |
Preparation, filing support & follow-up |
How DMS Helps QME Doctors
Medical-Legal Billing Requires More Than Sending a Bill
QME and medical-legal accounts can involve specialized billing requirements, documentation, fee schedules, EORs, disputes, and payment follow-up.
DMS helps QME doctors manage the administrative side of these accounts so they can focus on their evaluations and medical-legal responsibilities.
DMS Can Assist With:
- QME billing
- Medical-legal documentation
- HCFA billing
- ML2 coding
- EOR review
- Payment follow-up
- Unpaid medical-legal accounts
- SBRs and applicable disputes
- Medical-legal collections
- Lien and litigation support
- Cost Petitions
How DMS Helps
DMS combines Workers’ Compensation knowledge, consistent follow-up, and dedicated administrative support to help medical providers and QME doctors spend less time managing unpaid claims and more time focusing on their practice.
Workers’ Compensation Resources
Our educational resources cover topics such as aging WC AR, EORs, SBRs and appeals, QME medical-legal billing, denials, underpayments, collections, and litigation, providing providers with practical information to better understand the Workers’ Compensation revenue cycle.
Contact Us:
☎️ 657-656-4408
🌐 www.doctormgt.com