Blog: Daisy News

News, data, & insights about workers' comp billing

Work Comp News: Final MTUS and More

September 22, 2016/ Catherine Montgomery

Final Medical Treatment Utilization Schedule (MTUS), with Opioid Treatment Guidelines

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The DWC finalizes the MTUS regulations in response to reports of widespread opioid abuse:

  • Updates the Chronic Pain Medical Treatment Guidelines.
  • Adopts Opioids Treatment Guidelines.
  • Notable is the emphasis on evidence-based care and changes to the meaning of chronic pain.
  • These regulations apply to any treatment requests made on or after July 29, 2016.

SB 1160 Reforms Will Shake Up CA Workers' Comp (Again)

September 19, 2016/ Catherine Montgomery

Once again, California’s workers’ comp system is headed for major reforms, this time by way of SB 1160, which the CA Senate passed on August 31. The most significant features:

  • Reduction or elimination of  the need for utilization review (UR) for routine treatments in the first 30 days after an injury.
  • Major restrictions on liens, which would affect both existing and future liens.
  • Introduction of a timely billing requirement for providers, within 30 days of date of service.

Fee Alert: Quarter Four DWC Fee Schedule Updates

September 15, 2016/ Catherine Montgomery

The Division of Workers’ Compensation (DWC) posted the following adjustments to the Official Medical Fee Schedule (OMFS) for services rendered on or after October 1, 2016, in each case to conform to Medicare’s fourth quarter changes.

Numbers Don't Lie: Second Reviews Work

August 4, 2016/ Catherine Montgomery

Still not convinced that Second Reviews work? We’ll let the numbers speak for themselves:

  • Over $11 million collected in Second Review payments by DaisyBill clients
  • $43,000 collected DAILY, from 6/15/2016 - 7/15/2016

Workers’ Comp Claims Administrators: Average Days to Payment, 1/1/2016 to 3/31/2016

July 15, 2016/ Catherine Montgomery

In the first quarter of 2016, DaisyBill processed over 230,000 bills. In this blog we examine payment speeds for our top 20 claims administrators based on volume. 

Fee Alert: Another DWC Update -- DMEPOS Fee Schedule

July 5, 2016/ Catherine Montgomery

On July 1, 2016, the Division of Workers’ Compensation (DWC) adjusted the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) section of the Official Medical Fee Schedule (OMFS). The order reflects third quarter changes in the Medicare payment system, as required by Labor Code section 5307.1.

Fee Alert: DWC Updates Physician Fee Schedule to Reflect Medicare Payment Changes

June 29, 2016/ Catherine Montgomery

Effective July 1, 2016, the Division of Workers’ Compensation (DWC) updated the Official Medical Fee Schedule (OMFS) to reflect changes in the Medicare payment system, as required by Labor Code 5307.1.  

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DaisyBill is a trusted authority on workers' comp billing. Thousands of work comp professionals attend our webinars, and state agencies and professional organizations turn to us for our expertise. We created this blog to help everyone involved in workers' compensation; sharing news, tips, and data of interest to the community.

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