How To Stop A Network From Taking Your Revenue
Mar 22, 2021
Recently, a DaisyBill provider contacted us to discuss a disturbing network contract, one that expands its net well beyond what this provider initially believed...
How to Apply HCPCS G2212 in CA Workers' Comp
Mar 15, 2021
This year, California’s Division of Workers’ Compensation (DWC) debuted a new code for billing extended Evaluation and Management (E/M) time: Healthcare Common Procedure Codi...
Gallagher Bassett, Foster Farms Lay A Rotten Egg in CA
Mar 12, 2021
Update: As of April 1, 2021 Gallagher Bassett can locate and process claims for Foster Farms employees. Workers’ compensation claims for injured employees of Foster Fa...
2021 Facility E/M Reimbursement Rates for CA Workers' Comp
Mar 9, 2021
Evaluation and Management (E/M) billing is very different for California workers’ comp physicians in 2021. Among the changes to the Physician Fee Schedule are new reim...
2021 E/M Reimbursement Rates for CA Workers' Comp
Mar 8, 2021
As we reported previously, California’s Division of Workers’ Compensation made major changes to Evaluation and Management (E/M) billing for 2021. In addition to updati...
CA OMFS: E/M Billing - 2021 Major Changes
Mar 4, 2021
Effective March 1, updates to California’s Physician and Non-Physician Practitioner Fee Schedule significantly alter the way providers bill for Evaluation and Management (E/M...
ESIS + Conduent + StrataCare = Provider Torment
Mar 2, 2021
Preferred Provider Organizations (PPOs) profit from reducing the reimbursements providers receive for treating injured workers. Yet, we would argue that providers (and injure...
Warning: Do Not Accept Credit Cards as Payment
Feb 23, 2021
In the past we have written a number of posts (including one about Broadspire) warning providers to not accept credit card payments issued by payers such as claims administra...
Sedgwick & Mitchell Setting Up a Legal Protection Racket?
Feb 22, 2021
Sedgwick, in cahoots with Mitchell, seems to be setting up some kind of protection racket where, in exchange for providers accepting lower reimbursement, Sedgwick/Mitchell wi...
CA OMFS - Reimbursements Reduced for Physician Services
Feb 12, 2021
Yesterday, the California Division of Workers’ Compensation (DWC) announced the 2021 reimbursement changes to the Physician Services section of the Official Medical Fee Sched...
Payer Defies Clear Law and Refuses to Send Electronic EORs
Feb 11, 2021
The California law regarding electronic explanations of review (EORs) is crystal clear and completely unambiguous -- at least to the vast majority of the workers’ comp commun...
ESIS & ABM Industries - IBR Hall of Shame
Jan 28, 2021
We continue to look at the misbehavior of ESIS, which yesterday entered the IBR Hall of Shame for its deplorable treatment of a provider who prevailed in two Independent Bill...