Most Recent Articles
Feb 8, 2017
Non-Face-To-Face Service Reimbursable in 2017 (CPT Codes 99358, 99359)
Changes have been made to the California OMFS since the publication of this article. Be sure to see the latest analyses here and here.2021 OMFS updates drastically cha...
Feb 7, 2017
DWC Adopts Changes to Physician Fee Schedule, Effective March 1
Late last month, the California Division of Workers’ Compensation (DWC) posted an order announcing their upcoming adjustment to the Physician and Non-Physician section of the...
Feb 3, 2017
Missed Connections: Indirect Routing of Workers’ Comp Electronic Bills
Today, we continue our multi-part examination of compliant electronic billing for California workers’ comp bills. We kicked off the series with a primer, before diving into e...
Jan 31, 2017
EDI Agent Responsibilities in California Workers’ Comp
Over the past several weeks, we’ve taken a close look at various aspects of compliant e-billing for California workers’ compensation bills. Today, we turn our focus to the ro...
Jan 27, 2017
Electronic EORs for Workers’ Comp: Timing and Compliance
This month, we’ve placed an emphasis on analyzing and explaining the vagaries of electronic billing for California workers’ compensation medical bills. The state’s Division o...
Jan 24, 2017
SB 1175: Accelerating Workers' Comp Process - Don't Miss Out
Early in 2017, a piece of workers’ comp legislative reform is making its presence known to California claims administrators and providers. No, we’re not talking about Senate ...
Jan 24, 2017
Confusion and Running in Circles: AIG / MedRisk Incorrect Denials
Recently DaisyBIll providers reported receiving incorrect and very confusing denials from MedRisk, a managed care provider network, for bills that were actually submitted dir...
Jan 19, 2017
7 Reasons for Rejected Workers’ Comp Electronic Bills
Last week in this space, we published an introductory primer on compliant workers’ compensation electronic billing. Since its introduction in 2012, electronic billing has con...
Jan 16, 2017
New Original Bill Requirement Raises Lien Questions
On a typically overcast San Francisco morning earlier this month, the California Workers’ Compensation Appeals Board (WCAB) held a public hearing. The subject? Proposed regul...
Jan 13, 2017
Compliant Electronic Billing for Workers’ Comp: The Basics
Since October 2012, California claims administrators are legally obligated to compliantly accept and process workers’ compensation electronic bills. In that time, electronic ...
Jan 10, 2017
DWC Releases New Lien Forms to Comply with SB 1160
At the start of the year, the California Division of Workers’ Compensation (DWC) made good on the lien reforms promised by Senate Bill 1160. Along with the Workers’ Compensat...
Jan 5, 2017
DWC Changes 95% of Path/Lab Reimbursements
It’s the most wonderful time of the year to be a California workers’ compensation blogger – the changes just keep coming. In today’s update, we take a look at the new adjustm...