West Virginia rehabilitation professional billing —
85 CSR 15, and a small market.

Your week, in West Virginia’s documents.

A defined professional role in a small market, and mountain miles between appointments.

• 7:40 a.m.
  Calls on three files before the drive.Entered as they end, with claim numbers attached.
• 11:00 a.m.
  Appointment attended, wait time, 73 mountain miles.Travel time and mileage as their own lines.
• 2:10 p.m.
  Monthly report for an Encova file.Written once from the entries, in your template.
• 4:30 p.m.
  Invoices out and receivables aging by payer.One list on Tuesday morning.

One check, four claimants, one short-pay caught at $16.14, $674.07 still owed. Invented names, real workflow — and the same screen whether you invoice a TPA in West Virginia or an MCO in Ohio.

Every one of those rows is typed once, as it happens. The daily log writes itself as you go, the weekly narrative log builds in your own Word template, the invoice fills with the right units and the right payer block, and the receivable exists the moment the bill leaves. The whole chain →

Who pays you in West Virginia.

Encova, the privatized former state fund, carries much of West Virginia, with the national carriers and TPAs behind it.

One check, many claimants. Whichever of these names is on the envelope, the check covers a dozen files at once. You record it once, tick the bills it pays, and anything short is flagged with the exact gap and the original form attached, ready to rebill. How that screen works.

Payer fax numbers and billing addresses go stale faster than any page can keep up, so we publish them only where we keep them current — today that is Ohio’s nine MCOs. Your West Virginia payers, their submission addresses and their quirks get set up during onboarding, from your own files.

Case files, adjusters, mileage, invoices.

Nurse case management billing works in West Virginia today, and the same activity grid handles rehabilitation-professional files under 85 CSR 15 when they arrive.

It is the same week Dana works in Ohio with different nouns: case files instead of claimants, adjusters instead of MCO coordinators, billable hours and mileage instead of W-codes. The nurse case manager page has the whole workflow.

Questions, answered.