Blog: Daisy News

News, data, & insights about workers' comp billing

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  • 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.

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

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  • 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, and in a special webinar on January 16. As always, our OMFS Calculator will be up to date with all the changes for DaisyBill users.

    Last week, we detailed 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.

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  • 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. We’re hosting a webinar on all OMFS changes on January 16.

    Below are the new reimbursements for evaluation and management (E/M) services, as well as the most frequently-billed “Other” services. Next week, we’ll publish the reimbursement changes for the top surgery and radiology CPT codes.

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

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  • 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.

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  • July 7, 2017

    Q3 2017 DMEPOS Fee Schedule Adopted By DWC

    After keeping us waiting for a few days, the California Division of Workers’ Compensation (DWC) officially posted an order adjusting the Durable Medical Equipment, Prosthetics, and Orthotics (DMEPOS) section of the Official Medical Fee Schedule for the third quarter of 2017. This adjustment by the DWC brings California workers’ comp into alignment with the Medicare payment system.

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  • July 5, 2017

    Still Waiting on Adoption of Q3 DMEPOS Fee Schedule

    The California Division of Workers’ Compensation (DWC) typically posts an order every quarter adjusting the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) section of the Official Medical Fee Schedule. In fact, the DWC is legally required to do so to conform to the Medicare payment system. But even though Medicare released quarter three QME-17C file, the DWC has not yet issued an order to officially adopt it.

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  • June 14, 2017

    2017 Physician Fee Schedule Changes Effective July 1

    Mark your calendar! The California Division of Workers’ Compensation (DWC) issued a Newsline this week announcing the next wave of changes to the Physician and Non-Physician Practitioner Services Portion of the Official Medical Fee Schedule (OMFS).¹ While none of the reimbursement changes are very noticeable, a host of new codes will roll into effect on July 1, 2017.

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  • May 24, 2017

    New Versus Established Patients in Workers’ Comp Billing

    One of the more vexing difficulties in workers’ compensation billing – and there are plenty of qualified candidates – is keeping up with the jargon. Abbreviations abound, and acronyms fly around like they’re going out of style. Crucially, certain terms or phrases that mean one thing when applied to most kinds of medical billing mean something different when applied to workers’ comp billing. (Longtime readers will remember that we’ve run into problems with terms like “original bill” before.) Today we tackle another such phrase, as it applies to the physician fee schedule: “New Patient.”

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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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