This Billing Guide outlines Mississippi’s workers' compensation billing requirements and DaisyBill’s resources on how to file compliant medical bills.
Billing Form Requirements
This table is a guide to DaisyBill's resources on the required forms for compliant paper and electronic workers’ comp billing in Mississippi.
Forms |
Services |
DaisyBill Resources |
CMS-1500 |
Physician Services Pathology / Laboratory DME Dispensed Pharmaceuticals |
|
UB-04* |
Facility |
UB-04 Instructions |
Not Specified |
Pharmacy |
|
Not Specified |
Dental |
*Not specifically required, but recommended by DaisyBill
State-Mandated Physician Reporting Requirements
This table is a guide to DaisyBill's resources on the reporting forms required for compliant paper and electronic workers’ comp billing in Mississippi.
Service |
Attachment Description |
Number of Days until Due after Date of Service |
Form Link |
Initial Evaluation |
Medical Report |
20 days |
|
Progress Report |
Medical Report |
20 days |
|
Final Report |
Medical Report |
20 days |
Electronic Billing Mandate
The Mississippi Workers' Compensation Commission has not issued electronic billing regulations or rules for medical bills. Accordingly, contact the payer to determine if workers’ comp bills can be submitted electronically.
DaisyBill Solution
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