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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  • November 21, 2017

    Why Work Comp Providers Need Specialized RCM

    Workers’ compensation is different.

    It’s a labyrinth of legal and procedural twists, turns, and obstacles that don’t plague providers in other areas of medicine. When it comes to billing and payment, there’s no way around it: providers need help. If financial success is the goal, wading into workers’ comp without specialized Revenue Cycle Management (RCM) is like going into a blizzard with a raincoat; technically possible, but woefully inadequate.

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  • November 17, 2017

    Overpaid? Providers Under No Obligation to Return Payment to Claims Admin

    When an employer or insurer’s claims administrator incorrectly overpays a workers’ comp bill, the provider is under no legal obligation to return the payment. This issue came up due to incorrect payments per the ASC/Outpatient Fee Schedule. Mistakes regarding the complex new Status Indicators have left some claims administrators scrambling to recover erroneous payments — even to the point of threatening providers.

    In these situations, it’s important for all parties to be clear on the rules. California Labor Code does not require the restitution of mistakenly paid reimbursements.

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  • October 13, 2017

    Are You Billing for Missed Work Comp Appointments?

    You should be.

    A provider’s time may be their most valuable resource. The complexity of workers’ comp billing drains an absurd amount of that time, decreasing the return on investment for treating injured workers. When a provider reserves their time for an appointment (and any related preparation), that time should be compensable whether the patient shows up or not.

    All providers should establish a written cancellation policy for workers’ comp patients and have the insurer’s claims administrator sign it. This protect the provider’s time, and their bottom line.

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  • September 20, 2017

    OMFS Update Alert

    The California Division of Workers’ Compensation (DWC) ordered new adjustments to the Official Medical Fee Schedule (OMFS), effective for services rendered on or after October 1, 2017. The order updates fees for Physician and Non-Physician Practitioner services— including a status code change that, in effect, eliminates reimbursement for CPT 93668.

    Read more →

  • August 18, 2017

    Discount Dangers, Part I: The Silent PPO

    Discount Dangers is a DaisyBill series on the various ways discount contracts cheat workers’ comp providers out of reimbursement. With this series, we shine a light on the worst discount practices, and help providers fight back.

    There’s a danger lurking in Preferred Provider Organization (PPO) discount contracts: the “silent” PPO.

    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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