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: OM computes the §4603.2 increase and interest on a late-paid treatment bill. · Lab. Code §4603.2(b)(2)

  2. Chiron: OM computes the §4622 increase and interest on a late-paid med-legal bill. · Lab. Code §4622(a)(1)

  3. Chiron: OM declines to compute a penalty when liability is contested or a date is missing, rather than invent one.

  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. Coming: AI-suggested procedure and E/M coding, for the biller to confirm, is being built.Coming

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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