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.
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)
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)
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.
Chiron: Flag a payer as governmental once and its payment window follows the statute for every bill. · Lab. Code §4603.2(b)
Chiron: Duplicate payer spellings are merged into one record across every case.
Chiron: Marking a no-show drafts the ML200 missed-appointment charge. · 8 CCR §9795(c) ML200
Chiron: Completing a supplemental report drafts the ML203 charge. · 8 CCR §9795(c) ML203
Chiron: Completing a deposition drafts ML204 from your hours; a cancellation inside eight days drafts the one-hour minimum. · 8 CCR §9795(c) ML204
Chiron: Sub rosa review logged by the quarter-hour drafts the ML205 charge. · 8 CCR §9795(c) ML205
Chiron: Attesting the report drafts the ML charge with excess-page pricing. · 8 CCR §9795(c) ML-PRR
Chiron: While the report is drafted, OM shows the ML code, the applicable modifiers and the included-page allowance. · 8 CCR §9795(d)
Chiron: The physician declares the report type; OM confirms the ML200-series code and prices the excess pages.
Chiron: A recorded procedure drafts its charge with the code, units and modifiers exactly as recorded.
Chiron: Every charge is priced against the OMFS, MLFS or your practice fee schedule before it is created.
Chiron: Preview the fee for a code and modifiers on a case before the charge exists.
Chiron: The CMS-1500 is generated from the charge.
Chiron: OM builds the 837P claim file for your billing partner to transmit.
Chiron: Upload or paste an EOR; Chiron proposes the payment and denial fields, and a biller confirms before anything posts.
Chiron: Posting a denial requires a structured denial basis.
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)
Chiron: OM generates clearly labelled equivalents of the SBR-1 and IBR-1 requests from the charge, EOR and appeal.
Chiron: Denial rate and performance by carrier, from your own payer registry.
Chiron: A write-off records its reason, separately from a denial.
Chiron: Recording the denial opens a §4060 QME panel request. · Lab. Code §4060
Chiron: The med-legal dashboard shows revenue by ML code, receivables aging and §4622 exposure.
Chiron: Billing and AR-aging registers export to CSV or Excel — refused rather than truncated past the row cap.
Chiron: The §38 report deadline, extensions and a late-report warning on every evaluation. · 8 CCR §38(a)–(b)
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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