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News, data, & insights about workers' comp billing

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  • March 3, 2017

    New DWC Lien Rules Effective March 26, 2017

    Since the passage of Senate Bill 1160 last fall, questions have swirled around the landmark piece of legislation’s new lien declaration requirements. This week, the Workers’ Compensation Appeals Board (WCAB), moved us closer to answers – the organization adopted the final Rules of Practice and Procedure to implement SB 1160, effective March 26, 2017.

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  • March 1, 2017

    2017 Work Comp Reimbursement Cheat Sheet

    In recent weeks, much of our coverage was devoted to the changing 2017 Physician and Non-Physician portion of the Official Medical Fee Schedule (OMFS). Today, after more than a month of waiting, those changes become effective.

    We’ve compiled a cheat sheet of frequently-used workers’ comp Evaluation and Management codes, along with California-specific work comp codes and a pair of newly-reimbursable codes for prolonged non-face-to-face services. Use this page as a reference guide to ensure that your practice is reimbursed correctly for all dates of service from March 1 on.

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  • February 28, 2017

    5 Things You Need to Know About the March OMFS Changes

    Tomorrow’s the day. The new Physician and Non-Physician Fee Schedule – announced by the California Division of Workers’ Compensation in January – finally rolls into effect for 2017 dates of service on March 1. Here’s what you need to know.

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  • February 24, 2017

    Claim to Fame: 2016's Elite California Claims Administrators

    Every quarter, we analyze and publish data on California claims administrators and time to payment for electronic workers’ comp bills. These reports provide a valuable snapshot of compliance – and non-compliance – throughout the industry. In recent days, we’ve examined time to payment for original electronic medical treatment and medical-legal bills. Today, we combine the two bill types to uncover the cream of the crop. Four claims administrators outshine all others in terms of speed.

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  • February 23, 2017

    2017 California-Specific Code Reimbursements Updated

    Earlier this month, we reported on the upcoming changes to the Physician and Non-Physician Services section of the Official Medical Fee Schedule (OMFS). The California Division of Workers’ Compensation adopted these changes to conform to the Medicare payment system, and the changes roll into effect on March 1, 2017. New conversion factors and an updated RVU file combine to change the reimbursement amounts for all procedure codes – we covered the changes to the twenty most commonly-used Physician and Non-Physician HCPCS in our analysis. Lost in the shuffle of these changes are another critical shift: Changes to the California-specific codes laid out in CCR § 9789.12.14.

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  • February 22, 2017

    Claims Administrator Days to Payment for 2016 Med-Legal Bills

    Last week on the blog, we published data on the top 20 California claims administrators who processed original electronic medical treatment bills on behalf of our clients in 2016. The takeaway? Electronic billing for California workers’ comp is really, really fast. Today, we turn our eye on a different type of workers’ comp bill – one for medical-legal services. Unlike medical treatment bills, no California regulations exist to govern – or even condone – electronic billing for medical-legal evaluation. Yet electronic billing still yields astonishingly fast payment for medical-legal bills – to say nothing of its environmental impact.

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  • February 17, 2017

    2016 Claims Administrator Days to Payment: Liberty Mutual to AmTrust

    If you’re a regular visitor to our blog, you’ll recognize a common refrain: Electronic billing for California workers comp is fast, efficient, and easy. How fast, exactly? California Labor Code § 4603.4 makes it pretty clear: “Payment for medical treatment provided or prescribed by the treating physician… shall be made with an explanation of review by the employer within 15 working days after electronic receipt” of an electronic bill.¹

    Now that all of our data from 2016 is officially in the books, let’s take a closer look at which claims administrators beat this fifteen-day requirement for original medical treatment bills – and which ones left something to be desired.

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  • February 16, 2017

    Place of Service and Work Comp Bills: Oh, the Places You'll Code

    The early weeks of 2017 saw a torrent of significant changes to the California workers’ comp system. Last week on the blog, we singled out the addition of a new Place of Service Type and Code for telehealth as an intriguing component of the forthcoming Physician and Non-Physician section of the Official Medical Fee Schedule (OMFS). Today, we take a closer look at what a Place of Service is and what it means for providers.

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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.

Drop us a line with any news you would like us to share or any issue that concerns you.

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