Most Recent Articles
Aug 2, 2017
Hospital Outpatient Prospective Payment System: C-APC Explained
Yesterday on the blog, we described how Medicare’s adoption of Addendum B for the Hospital Outpatient Departments and Ambulatory Surgical Centers (ASCs) fee schedule moves th...
May 25, 2017
Contracting Custom Reimbursement: Labor Code 5307.11 Explained
As any work comp biller knows, the rules for reimbursement start with the Official Medical Fee Schedule (OMFS) or other established fee schedules. In rare instances, however,...
May 24, 2017
New vs Established Patients in Workers’ Comp Billing
One of the more vexing difficulties in workers’ compensation billing – and there are plenty of qualified candidates – is keeping up with the jargon. Abbreviations abound, and...
Oct 5, 2018
It's Official: GPCI Reimbursement Adjustments Coming to CA Workers' Comp
California’s Division of Workers’ Compensation (DWC) has pulled the trigger: Geographic Practice Cost Indices (GPCI) will take effect on January 1, 2019. GPCI will divide the...
Sep 19, 2018
Time and Billable Units 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...
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Sep 6, 2018
CA Pathology/Clinical Laboratory Billing: NCCI Edits Do Not Apply
Medicare’s National Correct Coding Initiative (NCCI) complicates California workers’ comp billing, to say the least. NCCI edits are the source of much confusion, as pr...
Sep 12, 2018
CA Pharmaceutical Fee File Corrected
Providers, take note: California’s Division of Workers’ Compensation (DWC) announced that the Medi-Cal pharmaceutical fee data file, updated weekly, was replaced for the week...
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...
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...
Jan 5, 2017
DWC Changes 95% of Path/Lab Reimbursements
It’s the most wonderful time of the year to be a California workers’ compensation blogger – the changes just keep coming. In today’s update, we take a look at the new adjustm...
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 ...
Mar 14, 2017
“By Report” Reimbursements Explained: Part 1
One of DaisyBill’s biggest goals is to help medical professionals across California manage the nuances of the Official Medical Fee Schedule (OMFS). To that end, we spill a lo...