Most Recent Articles
Nov 18, 2018
The 5 Point Checklist for CPT Codes 99358 and 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...
Jan 4, 2016
2016 Work Comp Fee Schedule: Unveiling Surgical Code Updates
In case you missed it, every single fee in the workers’ comp Physician Fee Schedule changed on January 1, 2016. Yes, every single one. My recent article, 2016 Changes ...
Feb 26, 2016
Summary of Pathology and Clinical Laboratory Changes: CMS Final Determinations for 2016 Work Comp Fee Schedule
Effective January 1st, 2016, California workers’ comp adopts Medicare’s 2016 Clinical Laboratory Final Determination. Read on for a summary of the following changes, includin...
Jan 12, 2016
Decoding E&M Codes: 2016 Work Comp Fee Schedule Explained
In this article, I’ll focus specifically on Evaluation and Management (E&M) codes, which are part of the workers’ comp Physician and Non-Physician Practitioner Fee Schedule. ...
Jan 6, 2016
Work Comp Fee Alert: Summary of Important 2016 OMFS Changes
Effective for dates of service on or after January 1st, 2016, California’s Division of Workers’ Compensation (DWC) changed reimbursements listed in the Official Medical Fee S...
Sep 25, 2014
Warning: The DWC's Pharmacy Fee Schedule Is Not Always Accurate
Every Wednesday the DWC updates the reimbursement amounts listed in the DWC’s Workers’ compensation pharmacy fee schedule - Simple prescription (Pharmacy Fee Schedule). Each ...
Dec 22, 2016
92% of DMEPOS Reimbursements to Change in 2017
2017 is almost upon us, and the Division of Workers’ Compensation (DWC) is ringing in the new year with an adjustment to the Official Medical Fee Schedule (OMFS). The new ord...
Jan 2, 2014
Welcome, RBRVS!
Today is January 2, 2014 and yesterday RBRVS became effective. We've been preparing for this day for weeks, months even! We were ready to go with time to spare prior to the...
Sep 10, 2018
CA: Location-Based Adjustments Set to Take Effect in 2019
In April, the California Division of Workers’ Compensation (DWC) held a hearing regarding the inclusion of the Medicare Geographic Practice Cost Indices (GPCI) in the Physici...
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...
Mar 24, 2017
Billing Procedure Code 0232T for Platelet-Rich Plasma Injections
Last week on the blog, we examined the rare phenomenon of procedure codes whose reimbursements are established “by report.” This occurs when the Physician Fee Schedule fails ...
Nov 29, 2017
Outpatient/ASC Coding: J1 Combinations and C-APC
No one said work comp billing was easy. In fact, we say just the opposite, all the time. That’s why we created DaisyBill, and why we do our best to offer as many helpful tips...