Most Recent Articles

Who’s Who in Workers’ Comp Electronic Billing
Apr 25, 2017
Who’s Who in Workers’ Comp Electronic Billing
Whether you’ve worked in workers’ comp billing for ten days or ten years, one thing is inescapably clear: This is a complex system, rife with moving parts and the possibility...
Understanding the Difference Between 99080 and WC007
Apr 19, 2017
Understanding the Difference Between 99080 and WC007
Everything changed when the Division of Workers’ Compensation adopted the RBRVS-based Physician Fee schedule on January 1, 2014. We don’t say that to be dramatic – everything...
Taking it to Eleven: How to Convert 10-Digit NDC Numbers
Apr 18, 2017
Taking it to Eleven: How to Convert 10-Digit NDC Numbers
A common billing predicament facing workers’ comp billers involves the reporting of prescription and nonprescription medications and inserts using an identifying National Dru...
Reform the Reforms: SB 489 Aims to Clean Up SB 1160
Apr 13, 2017
Reform the Reforms: SB 489 Aims to Clean Up SB 1160
Let’s start with some simple facts. Each two-year session of the California legislature can see as many as 5,000 bills introduced. Of those 5,000, Governor Brown will probabl...
The Power of Data
Apr 12, 2017
The Power of Data
Speaking to a panel of industry leaders at the California Workers’ Compensation Institute’s annual meeting last month, Department of Industrial Relations (DIR) director Chris...
Major NCCI Changes to CPT Code 99359
Apr 11, 2017
Major NCCI Changes to CPT Code 99359
*Update: The 2021 OMFS updates drastically changed how E/M codes are billed.*Among the most important adjustments to the 2017 physician fee schedule was ...
Procedure Code 0232T and Independent Bill Review
Apr 7, 2017
Procedure Code 0232T and Independent Bill Review
Late last month, we examined a particularly intriguing CPT Code – 0232T – as part of our ongoing investigation into when reimbursements are established “By Report.” For certa...
Billing Tip: Know Where to Send RFAs
Apr 4, 2017
Billing Tip: Know Where to Send RFAs
The first thing we tell a provider when they ask for workers’ compensation billing tips? Always, always, always submit a Request for Authorization (RFA) for the recommended t...
3DCA Decision Places Emphasis on RFA Timelines
Mar 31, 2017
3DCA Decision Places Emphasis on RFA Timelines
On Wednesday afternoon, the California 3DCA, or Third District Court of Appeal, issued a ruling in the Ramirez v. Workers’ Compensation Appeals Board case. This is an interes...
Topics Announced for Work Comp Billing Conference
Mar 30, 2017
Topics Announced for Work Comp Billing Conference
This September, DaisyBill is hosting a one-day conference in Burbank dedicated to understanding and managing the complexities of California workers’ comp billing. It’s called...
DWC Adopts New DMEPOS, Same as the Old DMEPOS
Mar 29, 2017
DWC Adopts New DMEPOS, Same as the Old DMEPOS
The days are flying by. 2017 started with a bang, as the California Division of Workers’ Compensation (DWC) adopted a slew of new fee schedules, and the reforms of Senate Bil...
CPT Codes 99358 and 99359 Resource Notebook
Mar 28, 2017
CPT Codes 99358 and 99359 Resource Notebook
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...