The Tennessee Bureau of Workers’ Compensation’s Rules for Medical Payments (Rule 0800-02-17-.15) require health care providers—except for in-patient hospitals—to file a narrative report with the employer in the following situations:
Following Initial Visit
Tennessee requires providers to file a narrative medical report for the initial visit containing “all information pertinent to the compensable injury, illness, or occupational disease” with employers, if it is requested, within thirty (30) calendar days after the initial examination of the injured employee.
Continued Treatment
The Bureau of Workers’ Compensation requires providers to file a narrative medical report for any patient “receiving temporary disability payments (total or partial) for the same compensable injury, illness or occupational disease, the provider shall provide an updated medical report to the employer, including an assessment of functional progress toward employment” at intervals not to exceed 60 calendar days.
Providers are entitled to reimbursement “not to exceed $10.00 for reports twenty (20) pages or less in length, and twenty-five (25) cents per page after the first twenty pages” and should bill using procedure code WC102 for the Initial Medical Report.
Form & Requirements
Narrative medical reports are not required to be filed on any specific forms, but there are specific content requirements. In each of the situations described above, according to the Tennessee’s Rules for Medical Payments (PDF), the narrative medical report must include at least the following information:
For additional information on reporting please refer to DaisyBill’s Tennessee Billing Guide.
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