Blog: Daisy News

News, data, & insights about workers' comp billing

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  • April 6, 2018

    Interpreter Fee Schedule: An Imperfect Step in the Right Direction

    California’s Division of Workers’ Compensation (DWC) proposed new interpreter fee schedule regulations this week. The changes would create a uniform fee schedule, replacing the more haphazard “market rate”-based current system. The draft rules also require the use of more highly qualified “certified” interpreters whenever possible.

    The proposed rules may reduce the friction that characterizes billing for interpreter services, but come with complications of their own. The DWC is accepting comments on its public forum until 5pm Friday, April 13.

    Read more →

  • February 2, 2018

    Ultimate 2018 Workers’ Compensation Reimbursement Cheat Sheet

    Here it is: your complete, downloadable go-to resource for California workers’ comp reimbursement rates in 2018. This guide features the Official Medical Fee Schedule (OMFS) reimbursements for the procedure codes providers use most, including:

    • Evaluation & Management (E/M)
    • Surgery
    • Radiology (Professional Services)

    ...and more, plus reimbursements for medical-legal services! All OMFS reimbursements are effective for dates of service on or after January 1, 2018. 

    Read more →

  • January 26, 2018

    Bill Review: What It Is, and Why It’s Hurting Workers’ Compensation

    Bill review is very profitable. Sadly, that profit comes at the expense of other stakeholders in workers’ comp.

    Bill review is a huge part of the workers’ comp billing and payment system, and a large source of revenue for third party administrators (TPAs).  Everyone in work comp should understand that bill review companies and TPAs can unnecessarily drive up the cost of workers’ comp to serve their own bottom lines.

    Here’s how.

    Read more →

  • January 24, 2018

    Medical-Legal Cheat Sheet: Reimbursements

    Billing for medical-legal services is one of the trickiest aspects of workers’ comp revenue management. Further complicating the process is the time-based nature of many medical-legal billing codes, with providers and insurance claims administrators disputing which codes are billable by time, and what constitutes a single unit of time.

    Here, we offer a guide on compliant medical-legal billing, for your easy reference.

    Read more →

  • December 23, 2017

    2018 Radiology Reimbursements (Professional Services): Cheat Sheet

    Lately, we brought readers the Division of Workers’ Compensation (DWC)’s recent updates to the Physician fee schedule for evaluation & management and surgery. Today, we take a look at the new reimbursements for professional radiology services (billed with modifier -26), effective January 1, 2018.

    Refer to the chart below for quick and easy reference. On January 16, we hosted a comprehensive webinar covering all the changes to the OMFS. As always, DaisyBill clients can rest assured that our OMFS Calculator will include the most recent available reimbursement rates.

    For even more 2018 reimbursement info, see our Ultimate 2018 Workers' Comp Reimbursement Cheat Sheet.

    Read more →

  • December 20, 2017

    2018 Surgery Reimbursements: Cheat Sheet

    2018 is around the corner, and the Division of Workers’ Compensation (DWC) recently posted updates to the Official Medical Fee Schedule (OMFS), effective January 1. We’re detailing those changes here in our blog. As always, our OMFS Calculator will be up to date with all the changes for DaisyBill users.

    Last week, we covered changes to reimbursements for E/M services. Today, we take a look at reimbursement changes for surgery. Later this week, we’ll post changes to reimbursements for radiology.

    Use the chart below for quick and easy reference, and download our recent OMFS webinar. For more updated 2018 reimbursements, see our Ultimate 2018 Reimbursement Cheat Sheet.

    Read more →

  • December 15, 2017

    Reimbursement Change: 2018 E/M and Other Services Cheat Sheet

    It’s that time of year: the Division of Workers' Compensation (DWC) recently announced changes to the reimbursements for the Physician Fee Schedule. These reimbursement changes are effective for all dates of service on or after January 1, 2018. 

    Below are the new reimbursements for evaluation and management (E/M) services, as well as the most frequently-billed “Other” services. For even more 2018 reimbursement info, see our Ultimate 2018 Workers' Comp Reimbursement Cheat Sheet.

    Use the handy charts included in this blog for quick and easy reference, download our recent webinar, and subscribe to DaisyBill’s Work Comp Wizard, which includes all of the reimbursement changes that take effect on January 1st.

    Read more →

  • August 8, 2017

    Double Check: Confusion Over CCI Edits and MUEs Leading to Short Reimbursements for Outpatient/ASC

    DaisyBill has been paying almost obsessive attention to the Hospital Outpatient Departments and Ambulatory Surgical Centers Fee Schedule (Outpatient/ASC Fee Schedule). As we should; we worked hard to integrate it into our OMFS Calculator.

    So when the California Division of Workers’ Compensation (DWC) recently adopted an order changing that fee schedule, we scrutinized the changes— and asked a few important questions.

    Read more →

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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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