Blog: Daisy News

News, data, & insights about workers' comp billing

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  • January 19, 2018

    DWC 2018 Drug Formulary Webinar Video Available

    The Division of Workers' Compensation (DWC) posted a video replay of their recent webinar on the newly effective drug formulary. The DWC hosted the webinar in December, following the formulary's official state approval. For those who could not attend the webinar, the DWC initially posted a written transcript.

    You can view the webinar video below. The drug formulary became effective January 1, 2018. 

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  • January 17, 2018

    Glitch at York Risk May Delay Bill Payment

    Technical problems at third-party administrator York Risk Services left roughly 15,000 bills unprocessed. The error was discovered and resolved by York’s in-house bill review, which is currently processing the affected bills. According to York representatives, it may take up to 30 days from their discovery of the glitch to complete the processing.

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  • January 16, 2018

    SCIF Resolves Glitch Behind Incorrect Work Comp Bill Denials

    Several providers recently received incorrect denials of bills from California’s State Compensation Insurance Fund (SCIF), the state’s largest provider of work comp insurance. These original bills were denied for untimely submission, despite having been submitted within the required timeline. Senate Bill 1175 mandates a 12-month deadline for original bill submission.

    A SCIF representative acknowledged the error, as the insurer moved quickly to resolve it.

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  • January 9, 2018

    DWC 2018 Drug Formulary Webinar Transcript Available

    Last month, the Division of Workers’ Compensation (DWC) hosted a detailed live webinar on the newly effective drug formulary. For those who could not attend the webinar, the DWC recently made available a full transcript, accessible from the DWC website.

    The drug formulary is effective as of January 1, 2018.

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  • January 4, 2018

    FYI: Fresno County Changes TPA

    Effective January 1, the employer County of Fresno transferred all claims from third-party administrator (TPA) Risico Claims Management, Inc. to Acclamation Insurance Management Services (AIMS). The change applies to all dates of service.  All claims transferred to AIMS retain the same claim numbers used under Risico.

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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.

    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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