Most Recent Articles

2016 Claims Administrator Days to Payment: Liberty Mutual to AmTrust
Feb 17, 2017
2016 Claims Administrator Days to Payment: Liberty Mutual to AmTrust
If you’re a regular visitor to our blog, you’ll recognize a common refrain: Electronic billing is fast, efficient, and easy. How fast, exactly? California Labor Code § 4603.4...
Place of Service and Work Comp Bills: Oh, the Places You'll Code
Feb 16, 2017
Place of Service and Work Comp Bills: Oh, the Places You'll Code
The early weeks of 2017 saw a torrent of significant changes to the California workers’ comp system. Last week on the blog, we singled out the addition of a new Place of Serv...
Late Bill Payment? Collect Penalty and Interest.
Feb 14, 2017
Late Bill Payment? Collect Penalty and Interest.
The passage of Senate Bill 1175 last autumn placed a lot of emphasis on the timely filing of California workers’ comp bills. But what about timely payment? Claims administrat...
New Fee Schedule Adds Place of Service Code for Telemedicine
Feb 9, 2017
New Fee Schedule Adds Place of Service Code for Telemedicine
This week, we provided an overview of the upcoming changes to the Physician and Non-Physician section of the Official Medical Fee Schedule (OMFS). Today, we turn our attentio...
Non-Face-To-Face Service Reimbursable 2017 (CPT 99358, 99359)
Feb 8, 2017
Non-Face-To-Face Service Reimbursable 2017 (CPT 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...
DWC Adopts Changes to Physician Fee Schedule, Effective March 1
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...
Missed Connections: Indirect Routing of Workers’ Comp Electronic Bills
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...
EDI Agent Responsibilities in California Workers’ Comp
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...
Electronic EORs for Workers’ Comp: Timing and Compliance
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...
SB 1175: Accelerating Workers' Comp Process - Don't Miss Out
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 ...
Confusion and Running in Circles: AIG / MedRisk Incorrect Denials
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...
7 Reasons for Rejected Workers’ Comp Electronic Bills
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...