Blog: Daisy News

News, data, & insights about workers' comp billing

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  • June 29, 2018

    CA OMFS Update: Physician Services and DMEPOS

    California’s Division of Workers’ Compensation (DWC) posted update orders to two sections of the Official Medical Fee Schedule (OMFS), both effective July 1, 2018.*

    The DWC ordered changes to the Physician and Non-physician Practitioner fee schedule, as well as the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule.

    The orders affect reimbursement for 5 codes in total, 4 for Physician Services and one for DMEPOS.

    Read more →

  • May 9, 2018

    Medical-Legal Complexity Factors: Provider Requirements

    Recently, a DaisyBill client faced unreasonable demands from a bill review regarding complexity factors for medical-legal billing code ML104. Fortunately, our client’s refusal to accept arbitrary requirements ultimately won out — proof that providers can succeed when empowered with knowledge of the rules.

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  • May 8, 2018

    Medical-Legal: When to Bill For Report Preparation

     

    Medical-legal billing is a special kind of tricky.

    This unique subset of California workers’ comp has its own rules, its own fee schedule, and its own complications. Among those complications is how and when to bill for time spent preparing medical-legal evaluation reports.

    Read more →

  • May 4, 2018

    Medical-Legal Fee Schedule: DWC Proposes New Amendments

    The California Division of Workers’ Compensation (DWC) announced proposed amendments to the Medical-Legal Fee Schedule yesterday, May 3.

    The amendments would make significant changes to medical-legal billing practices. These changes include new limits on billing under the Official Medical Fee Schedule (OMFS), and new rules for the application of the ever-troublesome complexity factors for codes ML103 and ML104.

    The DWC will accept public comments until 5 pm on Friday, May 18. 

    Read more →

  • 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 →

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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.