ACS Medical Bill Processing Portal [Portal: 1.0.1014]

Please enter the portal by selecting a user type associated with one of the following programs:

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Welcome to the DOL OWCP Web Bill Processing Portal


The site provides functionality for the following Department of Labor Office of Workers' Compensation (OWCP) programs:

  • Federal Employees' Compensation Act (FECA)
  • Division of Coal Mine Workers' Compensation (DCMWC)
  • Division of Energy Employees Occupational Illness Compensation (DEEOIC)

To enter a program, click the appropriate link displayed above.



Available Features
Latest Developments
DFEC Compounded Drugs Letter of Medical Necessity Requirements
Beginning in October 2016, the Office of Workers' Compensation Programs (OWCP) Division of Federal Employees' Compensation (DFEC) will require all claims for prescription medications which contain a compounded drug to have a completed and approved Letter of Medical Necessity (LMN) on file for prescription authorizations submitted starting in early October. This form will be made available to registered providers beginning in October 2016 at https://owcp.dol.acs-inc.com/portal/main.do.
To submit the form, providers must click on the 'Provider' Link to the right of the FECA oval located at the top left of the home page, login with their user ID and password, and then click on the 'LMN Documents' link located in the left menu bar. For providers not yet registered, after clicking the 'Provider' link, click the 'Web Registration' link located in the left menu bar to register for web access. For providers not yet enrolled, click on 'Forms & Links' in the horizontal menu at the top of the home page to download the Provider Enrollment form and instructions. Authorizations for compounded drug prescriptions will be limited to a maximum of 90 days, with initial fills and refills to be issued in 30 day supplies.


Billing for TENS Unit Supplies
Effective September 25, 2016, TENs Unit Supplies are no longer billable as individual services and must be billed under HCPCS code A4595 (Electrical stimulator supplies, 2 leads, per month). This allowance includes: electrodes (any type), conductive paste or gel, tape or other adhesive, adhesive remover, skin preparation materials, and batteries (9 volt or AA, single use or rechargeable), and a battery charger (if rechargeable batteries are used). If 2 leads are medically necessary, a maximum of only one unit will be allowed per month for Procedure Code A4595. If 4 leads are medically necessary, a maximum of two units will be allowed per month. The following HCPCs codes are no longer covered as separately billable services; A4365, A4450, A4452, A4455 A4456, A4558, A4630, A5120, A5126, and A6250. All TENs unit supplies must be billed using HCPCS Procedure Code A4595.


Updated DFEC Pharmacy Fee Schedule
Generic Medications: For services billed on or after July 1, 2016, the Office of Workers' Compensation Programs (OWCP) Division of Federal Employees' Compensation (DFEC) will calculate the maximum allowable fee for generic drugs at 60% of the average wholesale price (AWP) plus a $4.00 dispensing fee.
Compound Medications: For services billed on or after July 1, 2016, the Office of Workers' Compensation Programs (OWCP) Division of Federal Employees' Compensation (DFEC) will calculate the maximum allowable fee at:
  • 50% of AWP of each NDC in the compounded drug, for compounded drugs containing three or fewer ingredients
  • 30% of AWP of each NDC in the compounded drugs, for compounded drugs containing four or more ingredients


Compound Medication Initial Fill Duration
Effective July 1, 2016, the initial prescriptions for compound medication should be for a period not to exceed 90 days. Initial prescriptions for periods greater than 90-days may be subject to further review for medical necessity.


Dental Bills Announcement
Effective October 1, 2015, OWCP will only accept paper bills submitted on the newest version of the dental claim form (2012 American Dental Association J430D).
Any bill submitted on an older version of the dental claim form will be returned to the provider and will not be submitted for processing. Additionally, all claims submitted on the new form must include the diagnosis code(s) for treatment (box 34a), a diagnosis pointer for each line billed (box 29a), and the appropriate diagnosis code list qualifier (box 34), regardless of the date the service was provided.


DEEOIC Medical Reimbursement Through EFT:
Starting October 1, 2015, reimbursement for out of pocket expenses, such as qualified medical bills and medical travel expenses, is available for deposit directly into your checking or savings account. Electronic Funds Transfer(EFT) is a much faster and more secure way to receive reimbursement compared to paper checks. We strongly encourage DEEOIC beneficiaries to select EFT as the preferred payment method. To obtain the DIRECT DEPOSIT SIGN UP FORM click here.


DEEOIC - The ICD-10 Transition and How it Affects DEEOIC Claims Processing
Important information for Energy Employees Occupational Illness Compensation Program medical providers is now available click here.


DEEOIC - New Medical Benefits Identification Cards
Important information about the new Energy Employees Occupational Illness Compensation Program Medical Benefits Identification Card is now available.
Providers - click here:
Claimants - click here:


Laterality of Diagnosed Condition(s)
Effective October 1, 2015 Physicians must specify the laterality of a claimant's condition as applicable (e.g. right or left upper extremity, right or left kidney, right or left lung, etc initial encounter) in their medical documents and medical bills in order for a bill not to be denied.


Inpatient/Outpatient Billing Announcement
Effective August 31, 2015, The Office of Workers' Compensation Programs (OWCP) will no longer accept paper bills submitted on the UB92 Form. Bills submitted on the UB92 form will be returned to the provider with a letter of explanation indicating: "Incorrect Form - Submit on the proper form. Inpatient/Outpatient - Submit on UB04."


ICD-10 Announcement - Claimants
Your providers will continue to use ICD-9 codes for services provided before October 1, 2015. ICD-10 codes are required by your provider for services provided on or after October 1, 2015.


Dental Bills Announcement
Effective October 1, 2015, OWCP will only accept paper bills submitted on the newest version of the dental claim form (2012 American Dental Association J430D). Any bills submitted on an older version of the dental claim form will be returned to the provider and will not be submitted for processing.


Web Announcement Provider Type 75
Effective February 01, 2015 the Office of Workers' Compensation Programs (OWCP) Division of Federal Employees' Compensation (DFEC) will no longer accept CPT code 99070 when the service is billed by a licensed DME provider. If a DME provider submits a bill for DME services utilizing the procedure code 99070, the service will be denied.

NPI & Surgical Procedure Codes Submission Requirement on CMS1500/OWCP1500 Form
Effective March 22, 2015, the Office of Workers' Compensation Programs (OWCP): Division of Federal Employees' Compensation (DFEC) and Division of Energy Employees Occupational Illness Compensation (DEEOIC) will require the NPI number in Block J on the CMS1500/OWCP1500 form for all surgical procedure codes. If the NPI number is missing, the line will be denied. If multiple providers participated in the surgery, supporting documentation must be submitted.


Announcement for New DEEOIC Medical Provider Updates Subscription List
Subscribe to DEEOIC Medical Provider Updates via Email (click here)


Change to Outpatient Payment Method - (Outpatient Prospective Payment System - OPPS)
DEEOIC:
Effective February 22nd, 2015, the Office of Workers' Compensation Programs (OWCP), Division of Energy Employees Occupational Illness Compensation (DEEOIC) will implement a new reimbursement methodology which will be based on the Medicare Outpatient Prospective Payment System (OPPS). The new payment method will utilize Medicare’s Ambulatory Payment Classifications (APC) as well as the OWCP fee schedule.

The new payment method will apply to outpatient care in all acute care hospitals including general hospitals, freestanding rehabilitation hospitals and long-term care hospitals, with the exception of critical access hospitals and Maryland hospitals. When submitting the OWCP-04 form for Outpatient services, providers will be required to enter their Medicare Number in box 51. If the Medicare number is missing or invalid, the bill will be denied.


Toll Free Number Announcement
Effective January 2, 2015 the customer service number for questions related to provider enrollment, FECA bill payment, and FECA medical authorization status is changing to a new Toll Free Number from
(850) 558-1818 to (844) 493-1966.


Re-Enrollment Announcement
The Office of Workers’ Compensation Programs (OWCP) will be conducting a Re-Enrollment of all actively enrolled OWCP Providers. The automated process will utilize the current enrollment data and conduct a verification using central public databases to include: provider demographics, NPI, taxonomy, specialty type, licensure, EFT, and proof of Medicare Certification where applicable.

For more information about Re-Enrollment click here


Provider Enrollment:
Please Note: We have a new Enrollment fax number for providers who want to submit an Enrollment Application. All completed online Enrollment Applications should faxed to: (888) 444-5335, and your application will be processed accordingly.


Change to Outpatient Payment Method - (Outpatient Prospective Payment System - OPPS)
DFEC:
Effective October 1, 2014, the Office of Workers' Compensation Programs(OWCP), Division of Federal Employees Compensation (DFEC) will implement a new reimbursement methodology which will be based on the Medicare Outpatient Prospective Payment System (OPPS). The new payment method will utilize medicare's Ambulatory Payment Classifications (APC) as well as the OWCP fee schedule.

The new payment method will apply to outpatient care in all acute care hosptials including general hospitals, freestanding rehabilitation hospitals and long-term care hospitals, with the exception of critical access hospitals and maryland hospitals. When submitting an OWCP-04 form for outpatient services, providers will be required to enter their medicare number in box 51. If the medicare number is missing or invalid, the bill will be denied.



Attention DEEOIC DME Providers - The Division of Energy Employees Occupational Illness Compensation (DEEOIC) has released new guidelines concerning the authorization of durable medical equipment (DME). For information about these new guidelines, please click here.


Injection Service Limitation
The Division of Federal Employee’ Compensation Act (DFEC) has released new guidelines implementing service limitations for injection CPT codes 20550, 20551, 20552, 20553, and 20526, which goes into effect August 1, 2013.
  • CPT codes 20550 and 20551 will reimburse 4 encounters within a 12 month period with no additional encounters for the claimant after that year, and for the same case number.
  • CPT codes 20552 and 20553 will reimburse 10 encounters within a 12 month period with no additional encounters for the claimant after that year, and for the same case number.
  • CPT code 20526 will reimburse 3 injections within a 12 month period.


  • DOL Procedure Codes RP120, RP130 and RP200 are no Longer Available
    Effective 08/01/2013, The Division of Federal Employees Compensation Act (DFEC) will no longer utilize DOL homegrown procedure codes RP120, RP130 AND RP200 (Pain Management). When rendering Pain Management services, providers are to bill and/or submit for prior authorizations using the appropriate HCPCS/CPT codes applicable for the services. Request for prior authorizations for pain management services should include but not be limited to a complete and detailed treatment plan.


    Title: New! Affordable Healthcare for Non-Workers Compensation Coverage
    If you or someone you know has a medical condition not related to a workers' compensation injury or illness and doesn't have health insurance, or if you are a physician treating someone without health insurance, please click here to learn about the new Health Insurance Marketplace created under the Affordable Care Act.


    OWCP Survey


    Interactive Voice Response System (FECA only)
    FECA users can access the Interactive Voice Response System (IVRS) to utilize bill status inquiry, claimant eligibility inquiry, and medical authorization inquiry functionality 24 hours a day. To access the IVRS system, please dial (866) 335-8319 and select option '1' from the main menu.




      Visit the following websites for additional information on OWCP programs:
      DOL Home | OWCP Home | FECA Home | DCMWC Home | DEEOIC Home
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