Most Recent Articles
Feb 21, 2023
CPT 99358 & 99359: Error Corrected
With apologies for any confusion, we offer the following correction.Our February 13 2023 article, clarifying that billing codes CPT 99358 and CPT 99359 remain payable ...
Mar 24, 2023
CA OMFS Update: Physician Services (Q2 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 ...
Jul 10, 2023
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
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
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
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
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
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
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...
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Dec 13, 2023
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...
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Jan 10, 2024
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
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...