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Office of Workers' Compensation Programs
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Division of Federal Employees' Compensation (DFEC)

Medical Provider

Subscribe to Email Updates

DFEC periodically provides medical providers with information about the FECA program on topics to include medical authorization and bill processing procedures, as well as eligibility for medical services. To receive these updates by email, please sign up here.


Medical Authorization and Billing

Medical Authorization and Bill Processing  Information on the process for submitting medical authorization requests and bill.

Tools and Tips for Medical Providers  Presentations that provide useful tools and tips concerning the submission of medical authorization requests and bills.

Medical Authorization/Bill Pay Web Portal  A link to access OWCP's web bill processing portal, where medical providers may enroll to treat injured federal employees, check eligibility for services, submit medical authorization requests and bills, and view authorization and bill status.

Medical Authorization/Bill Pay FAQs for Medical Providers  Answers to frequently asked questions about medical authorization and bill payment.

OWCP Medical Fee Schedule  Information on the fee schedule which applies to medical bills submitted to OWCP, with a link to view the schedule.

DFEC List of Not Covered National Drug Codes (NDCs)   List of NDCs not covered, as outlined in Circular 18-05, with effective dates.

Physician Dispensed Medication using Unspecified "J Codes" Payment for medications billed under J3490, J3590, J7999, J8499, J8999 and J9999 require prior authorization by claims staff. The strict exception based policy is described in Circular 18-06. Bills for these codes received on and after June 1, 2018 without prior authorization will deny.

How to Complete a Provider Enrollment Application Tutorial (Individual) Instructions on enrolling as an OWCP medical provider for individuals.

How to Complete a Provider Enrollment Application Tutorial (Facility) Instructions on enrolling as an OWCP medical provider for facilities.

How to Complete a Provider Enrollment Application Tutorial (Group) Instructions on enrolling as an OWCP medical provider for group practices.

How to Complete an ACH Vendor Payment Form Tutorial Instructions on completing an ACH Vendor Payment form.

Provider Brochure Information for medical providers about working with OWCP.


Information on DFEC Procedures

A.M.A. Guides to Impairment, 6th Edition  A description of the method used by DFEC to determine permanent impairment for the payment of schedule awards.

Medical (FECA Part 3) — Part 3 of the DFEC Procedure Manual, which addresses medical services and supplies and describes how medical examinations are arranged and the kinds of information medical reports should contain.

Benefit Payments (FECA Part 5) — Part 5 of the DFEC Procedure Manual which governs adjudication and payment of medical bills under the FECA.


OWCP Policy Announcements

The following announcements contain information on OWCP policy pertaining to authorization and payment of specific medical procedures and services:

Update on FECA's Opioid Policy

New FECA Policy on Opioid Medications

Prescriber NPI Requirement

New Policy on Filling Non-maintenance Medications

Policy on Herbal Supplements

Additional Information on Compounded Drug Medications

Billing for TENS Unit Supplies

Compounded Drug Medications

Transition to ICD-10

CPT Code 99070 Guidance

Change to Outpatient Payment Method - (Outpatient Prospective Payment System - OPPS)

Pharmacy Fee Schedule

ICD-10

Injection Service Limitations

Discontinued DOL Procedure Codes

Global Surgery

Pharmacy Processing

Automated Adjustment Process

Consultation Codes

Pharmacy Schedule II Policy

Anesthesia Fee Schedule

RP100

Schedule II Drug Program Changes for FECA