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Most Recent Articles
Jul 10, 2023
4 min read
3
CA OMFS Update: Physician Services (Q3 2023)
California’s Division of Workers’ Compensation (DWC) issued an update to the Physician and Non-Physician Practitioner portion of the Official Medical Fee Schedule (OMFS) for ...
Oct 6, 2023
3 min read
1
CA OMFS Update: Physician Services (Q4 2023)
California’s Division of Workers’ Compensation (DWC) issued an update to the Physician and Non-Physician Practitioner portion of the Official Medical Fee Schedule (OMFS) for ...
Nov 13, 2023
3 min read
2
Prime Health PPO: 2024 Medicare Cuts May Decrease Workers' Comp Reimbursement
The Centers for Medicare and Medicaid Services (CMS) announced it will cut reimbursement rates for physician services in 2024 by 3.4%.This Medicare reimbursemen...
Nov 15, 2023
4 min read
0
Reader Response: CA Physician Fee Schedule vs Medicare Rates
Make no mistake: 2024 cuts to Medicare reimbursement rates will affect reimbursement rates for treating injured workers — but only for providers under discount reimbursement ...
Nov 16, 2023
4 min read
0
Data: Medicare and CA Physician Fee Schedule 2014-2023
Treating California’s injured workers is much, much more costly in terms of time and administrative resources than treating Medicare patients. And, most California providers ...
Nov 17, 2023
2 min read
0
Paradigm Network: Medicare Cuts Impact Workers' Comp Reimbursements
At first glance, recently announced Medicare payment reductions may seem to have little to do with workers’ comp. But thanks to discount reimbursement contracts, Medicare cut...
Nov 30, 2023
3 min read
1
Alert: Sedgwick's Phantom Payment Reductions
Recently, Sedgwick Claims Management Services reduced a daisyBill doctor’s payments to 25% below the amount allowed by the California Physician Fee Schedule. To justify the r...
Dec 13, 2023
4 min read
1
AmTrust Pays Physician FAR Less Than Interpreter
Why do California doctors refuse to treat injured workers? Today’s story offers a giant, unmistakable clue.For the same encounter with an injured worker, AmTrust North...
Jan 10, 2024
3 min read
3
Athens Pays Interpreter More Than Physician For Evaluation
Once again, a claims administrator — with the help of a Preferred Provider Organization (PPO) — offers a perfect example of what makes treating injured workers financially un...
Jan 15, 2024
3 min read
0
CA OMFS 2024: Pathology, Clinical Lab Fee Schedule Update
On January 4, 2024, California’s Division of Workers’ Compensation (DWC) updated the Pathology and Clinical Laboratory portion of the Official Medical Fee Schedule (OMFS), ef...
Jan 16, 2024
5 min read
0
CA OMFS 2024: DMEPOS Fee Schedule Update
California’s Division of Workers’ Compensation (DWC) updated the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule, effective for services...
Jan 31, 2024
2 min read
0
CA OMFS Update: 2024 'WC' Report Billing Codes
California’s Division of Workers’ Compensation (DWC) announced reimbursement updates to the Physician and Non-Physician Practitioner Services section of the Official M...
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