Workers' Compensation

TMA Workers' Compensation Resource Center

Latest News | Guidelines for Disability Management | E-Tips | FAQs | Fees | Sample Letters | Seminars & Training

Latest News

• Tips for Writing a Workers’ Comp Causation Letter (TMA Practice E-Tips, Aug. 16, 2017)
• Workers' Compensation Annual Audit Plan Now Available (Action, Mar. 15, 2016)
• Workers' Comp Fee Conversion Factor Up 1.1 Percent in 2016 (Action, Dec. 1, 2015)
• Workers' Comp Has New Training Resources for Treating Doctors (Action, Jan. 5, 2015)
• Prescription Reimbursement News for Workers' Comp (Action, Dec. 16, 2013)
• Closed Formulary: Workers' Comp to Require Preauthorization for "Legacies"  (Texas Medicine, February 2013)   
• Workers' Comp Rules Change (Action, Sept. 5, 2012) 
• Closing the Formulary: Workers' Comp to Require Preauthorization of Some Prescriptions (Texas Medicine)   
• Workers’ Compensation Conversion Factor Changes (CY 2010) (PDF)
• Revised DWC Form-032, Request for Designated Doctor, and QuickReference Guide for Designated Doctors - TDI-DWC memo  
• New Workers’ Compensation Codes Adopted by Accredited Standards Committee (PDF) - TDI-DWC  
• Workers' Comp Update - TDI-DWC quarterly publication   
• WC Net News - TDI's Workers' Compensation Newsletter 
• Division of Workers Compensation Expectations of Insurance Carriers for eBilling
  The Commissioner of Workers' Compensation recently adopted rules that require insurance carriers and health care providers to be able to exchange electronic medical bill transactions on and after January 1, 2008. A memorandum was recently issued by the Commissioner regarding the Division's expectations of carriers to ensure compliance with the eBilling regulatory framework.  To view the memo, click here (PDF). 
• Resources from the 2007 Workers' Compensation Educational Conference - slideshows
     

Required Guidelines for Disability Management

• Letter from TDI regarding providing health care to injured employees - Texas Workers' Compensation System 
• Electronic Medical Bill Data Exchange (eBilling) Implementation  

E-Tips

• Practice e-Tips on Workers' Compensation

 FAQs

• Medical Fee Guideline Rules FAQs - The medical fee guideline rules relate to professional service reimbursements to health care providers who provide medical treatments and services to injured employees on or after March 1, 2008.

 Fees

• Workers' Comp Fee Schedule by Region   

 Sample Letters to Carriers

•  Reply to Carrier Request for More Information on an Incomplete Claim or More Documentation for a Retrospective Review
  View HTML version  
•  Claims in Process Over 45 Days
  View HTML version  
•  Request for Reconsideration
  View HTML version  

Seminars, Training & Resources

• Workers' Compensation Resources for Health Care Providers
• Disability Management: Treatment Guidelines, Return to Work Guidelines and Preauthorization
• Click here to view the TMA page on Workers' Compensation Advocacy.