Occupational Medicine EHR and AI Medical Billing Software

Occupational medicine clinics serve injured workers and employers. XEHR keeps workers’ compensation claims, employer invoices and work status reports in order.

Book an occupational medicine demo See pricing

Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Lifting injury at work; low back pain.

S39.012A Strain of muscle, fascia and tendon of lower back, initial encounter

ReviewSign note

Diagnosis carried to the claimS39.012A

THE HARD PARTS

What makes occupational medicine billing hard

Several payers for one clinic

Work injuries go to workers’ compensation, pre-placement exams to the employer and personal care to health insurance. One wrong payer delays payment for weeks.

Employers need work status after every visit

Restrictions and return-to-work dates must be sent quickly and must match the medical record.

State rules and forms

Workers’ compensation fee schedules, forms and reporting deadlines differ by state.

WHERE THE WORK HAPPENS

How occupational medicine care is delivered and billed

Occupational medicine clinics treat work injuries and provide employer services such as pre-placement exams and drug testing. Injuries are billed to workers’ compensation; employer services are invoiced.

What payers check on occupational medicine claims

Work injuries are billed to workers’ compensation, not health insurance.
Employer services are invoiced to the employer.
State workers’ compensation fee schedules and forms apply.
Injury codes need an encounter character.
Drug testing must follow chain-of-custody rules.

Common occupational medicine diagnoses ICD-10-CM

S39.012A	Strain of muscle, fascia and tendon of lower back, initial encounter
S61.011A	Laceration without foreign body of right thumb without damage to nail, initial encounter
Z02.1	Encounter for pre-employment examination
Z02.83	Encounter for blood-alcohol and blood-drug test
T67.01XA	Heatstroke and sunstroke, initial encounter
H83.3X3	Noise effects on inner ear, bilateral

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

An occupational medicine visit, start to payment

1
Identify who pays

The claim number or employer account is recorded at check-in.
2
Treat the injury

Mechanism, findings and treatment are documented.
3
Report work status

Restrictions are sent to the employer from the visit.
4
Bill or invoice

Claims go to the carrier; employer services are invoiced.

How XEHR helps

From the occupational medicine visit to the payment

Payer chosen per serviceEach visit records whether workers’ compensation, the employer or a health plan pays.
Work status from the visitRestrictions are produced from the visit note.
Claim details capturedClaim numbers, employers and adjusters are recorded with the case.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for occupational medicine

AI medical billing for occupational medicine practices

XEHR is an agentic EHR: AI agents do the administrative work around every occupational medicine visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

Work injuries are billed to workers’ compensation, not health insurance.
Employer services are invoiced to the employer.
State workers’ compensation fee schedules and forms apply.
Injury codes need an encounter character.

Around the visit

Agents run on their own

Coverage checked before each occupational medicine visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose an occupational medicine EHR

Ask every vendor, including us. The answers show whether a system was built for occupational medicine work or only adapted to it.

Ask us on a demo

Is the payer recorded for every service?
Are work status reports produced from the visit?
Are claim numbers and employer details captured?
Can employer services be invoiced?
Is drug testing chain of custody documented?

QUESTIONS

Occupational Medicine practices ask us

Does XEHR support occupational medicine?

Yes. Injury care, employer services and reports are documented and billed.

Can XEHR invoice employers?

Yes. Employer services are invoiced separately.

Does XEHR produce work status reports?

Yes. Restrictions are produced from the visit.

Can DOT exams be documented?

Yes. Exams are documented and fees recorded.

Does XEHR support onsite employer clinics?

Yes. Visits are documented and billed or invoiced.

Can hearing conservation tests be recorded?

Yes. Results are documented.

Can respirator clearances be documented?

Yes. Clearances are recorded.

How much does XEHR cost for an occupational medicine practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take an occupational medicine practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

Related specialties

See all specialties

See XEHR set up for occupational medicine

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

Book a demo See pricing