Hearing service providers must apply for accreditation with the WCB and contact the WCB to get authorization to treat the customer and determine what services the WCB will cover. Learn about accreditation, authorization to treat, billing, payments, reporting to the WCB and what forms you need.
Before you can provide audiology services to WCB customers and bill the WCB directly for those services, you must be accredited by the WCB.
To apply for accreditation with the WCB:
Make sure all documentation is included. Note: The WCB cannot process incomplete applications.
Our health care services department will review your application after receiving it. We will:
You can only bill for services from all the clinics you listed on your application. If you want to add a clinic to your portfolio or if a clinic changes location, you must submit a separate accreditation request for that clinic before you begin treating customers there. We cannot issue payment for care at a clinic where the provider is not accredited prior to that care being provided.
You must get approval from the WCB to treat WCB customers. Don’t rely on customers for authorization because they may think their claim number means the WCB has agreed to pay for their treatment.
To get approval, complete the Hearing loss – Request for funding (MCARE) form and either mail or fax it to the WCB. If you don’t get approval before treating, we may not pay for your services.
Note: If the patient’s claim is later denied after you received approval, we will notify you and pay for treatment that we approved up to the date of the termination notice. We will also pay reporting fees to the date of notice.
To prevent financial hardship to a WCB customer, bill the WCB directly for approved services and appliances. You can only bill workers for the difference in costs if they want a more expensive model than the one approved for them by the WCB.
To direct bill, you will need the WCB billing number you or your clinic received when your accreditation application was approved. The WCB will not pay for services or appliances provided before your accreditation date or provided at a clinic where you have not been accredited.
Payment can only be issued if the invoice meets our criteria. The following information is required:
If the WCB receives an application for payment after a 12-month period from the time the medical aid is provided to an injured worker, the WCB will not pay any account rendered by a physician, surgeon, hospital or other health care professional or institution. See WCB procedure, Medical Aid Billings – Payment (PRO 53/2006).
Keep your daily record of the service you provide to our customers in case an audit is required.
Bill costs should match the fee schedule for hearing service providers.
By submitting WCB invoices online, they will be processed through an automatic payment process. This means your invoices will be paid sooner than if you fax or email them to us.
Online submission methods:
Save time and give your users the ability to upload invoices online.
Eliminate entry duplication by uploading invoices from your system to the WCB website. Here is the document with instructions on how to update your software: Everything a vendor needs to know.
Here are the files needed for updating your system to be compatible with the medical invoice batch submission process:
If you have any questions with the batch submission process or are ready to test your system with us, please contact the webmaster.
Vendors who are already capable of uploading batch invoices:
|Accuro/QHR Techologies||CBS Navicert Software|
The WCB issues payments to care providers weekly and provides statements to confirm the payments were issued. These statements may include explanatory codes to provide details regarding specific services.
Care providers, like employers and workers, are required to report to the WCB any work-related injury that requires medical attention, whether or not the worker needs time off work beyond the day of the injury. Prompt reporting allows the WCB to arrange timely payment of benefits to injured workers.
Under legislation, care providers do not require a signed release from an injured worker in order to provide medical information to the WCB because:
Please review the WCB’s hearing loss fact sheet for guidelines to establish traumatic and occupational noise-induced hearing loss claims.
To establish hearing loss, submit a Primary Level Authorization to Treat – Hearing Services form to the customer’s case manager, along with:
Once WCB operations staff have confirmed and approved the claim, you can provide the customer with the hearing aid. The WCB will only cover the cost of an approved entry-level or basic hearing aid, except where a worker has a medical need for another aid. If injured workers want a more expensive model than the one the WCB approved, you can directly bill the worker for the difference in costs.
You will still need to submit a Primary Level Authorization to Treat – Hearing Services form for other services you may provide the customer, including repairs to their hearing aids. For each new fitting, you need to conduct at least one follow-up visit with the customer, with a maximum of two visits per year.
You do not need to submit the form before providing new batteries to customers who have hearing aids funded by the WCB.
When treating WCB customers, hearing service providers will:
To ensure that the Practice Standards for Audiologists Providing Services to Saskatchewan WCB Customers is being followed, the WCB may conduct compliance surveys. You will receive a notice from WCB two weeks before you, your clinic, or your treatment centre receives its compliance survey.
Print or share this page with others