ChironAI™ OM · ToolsRevenue checklist

Where the money goes.

Most of what a workers’ comp practice loses is not a bad month. It is a penalty nobody claimed, a deadline that lapsed, an evaluation billed for less than the schedule pays. Tick every one that happens in your practice.

  1. Chiron: When a treatment bill is paid late, Chiron calculates the §4603.2 penalty and interest the payer owes, counting from the bill’s receipt date. · Lab. Code §4603.2(b)(2)

  2. Chiron: When a medical-legal bill is paid late, Chiron calculates the §4622 penalty and interest owed, counting from the bill’s receipt date. · Lab. Code §4622(a)(1)

  3. Chiron: Chiron declines to calculate a penalty when liability is contested, the bill is in dispute, a date it needs is missing or a short payment has no EOR on file, and says why rather than guess.

  4. Chiron: Flag a payer as governmental once and its payment window follows the statute for every bill. · Lab. Code §4603.2(b)

  5. Chiron: Duplicate payer spellings are merged into one record across every case.

  6. Chiron: Marking a no-show drafts the ML200 missed-appointment charge. · 8 CCR §9795(c) ML200

  7. Chiron: Completing a supplemental report drafts the ML203 charge. · 8 CCR §9795(c) ML203

  8. Chiron: Completing a deposition drafts ML204 from your hours; a cancellation inside eight days drafts the one-hour minimum. · 8 CCR §9795(c) ML204

  9. Chiron: Sub rosa review logged by the quarter-hour drafts the ML205 charge. · 8 CCR §9795(c) ML205

  10. Chiron: Attesting the report drafts the ML charge with excess-page pricing. · 8 CCR §9795(c) ML-PRR

  11. Chiron: While the report is drafted, OM shows the ML code, the applicable modifiers and the included-page allowance. · 8 CCR §9795(d)

  12. Chiron: The physician declares the report type; OM confirms the ML200-series code and prices the excess pages.

  13. Chiron: A recorded procedure drafts its charge with the code, units and modifiers exactly as recorded.

  14. Chiron: Every charge is priced against the OMFS, MLFS or your practice fee schedule before it is created.

  15. Chiron: Preview the fee for a code and modifiers on a case before the charge exists.

  16. Chiron: The CMS-1500 is generated from the charge.

  17. Chiron: OM builds the 837P claim file for your billing partner to transmit.

  18. Chiron: Upload or paste an EOR; Chiron proposes the payment and denial fields, and a biller confirms before anything posts.

  19. Chiron: Posting a denial requires a structured denial basis.

  20. Chiron: Disputes against denied or underpaid charges are tracked as the ladder to second review and IBR. · 8 CCR §9792.5.5; Lab. Code §4622(b)(1)

  21. Chiron: OM generates clearly labelled equivalents of the SBR-1 and IBR-1 requests from the charge, EOR and appeal.

  22. Chiron: Denial rate and performance by carrier, from your own payer registry.

  23. Chiron: A write-off records its reason, separately from a denial.

  24. Chiron: Recording the denial opens a §4060 QME panel request. · Lab. Code §4060

  25. Chiron: The med-legal dashboard shows revenue by ML code, receivables aging and §4622 exposure.

  26. Chiron: Billing and AR-aging registers export to CSV or Excel — refused rather than truncated past the row cap.

  27. Chiron: The §38 report deadline, extensions and a late-report warning on every evaluation. · 8 CCR §38(a)–(b)

  28. Chiron: Chiron suggests the E/M level and proposes procedure codes, modifiers, units and ICD pointers from the visit, for a person to confirm.

The rules behind these tools run inside ChironAI OM on every case and every bill, so nobody in your practice has to count days by hand.

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