Billing Education

Contracting Custom Reimbursement: Labor Code 5307.11 Explained
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,...
New vs Established Patients in Workers’ Comp Billing
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...
How to Convince Your Boss to Send You to DaisyBillaroo
May 16, 2017
How to Convince Your Boss to Send You to DaisyBillaroo
Our September work comp billing conference is a great opportunity to learn about the industry and network with colleagues across the state. But we get it – conferences can be...
Who’s Who in Workers’ Comp Electronic Billing
Apr 25, 2017
Who’s Who in Workers’ Comp Electronic Billing
Whether you’ve worked in workers’ comp billing for ten days or ten years, one thing is inescapably clear: This is a complex system, rife with moving parts and the possibility...
Understanding the Difference Between 99080 and WC007
Apr 19, 2017
Understanding the Difference Between 99080 and WC007
Everything changed when the Division of Workers’ Compensation adopted the RBRVS-based Physician Fee schedule on January 1, 2014. We don’t say that to be dramatic – everything...
Taking it to Eleven: How to Convert 10-Digit NDC Numbers
Apr 18, 2017
Taking it to Eleven: How to Convert 10-Digit NDC Numbers
A common billing predicament facing workers’ comp billers involves the reporting of prescription and nonprescription medications and inserts using an identifying National Dru...
Major NCCI Changes to CPT Code 99359
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 ...
Billing Tip: Know Where to Send RFAs
Apr 4, 2017
Billing Tip: Know Where to Send RFAs
The first thing we tell a provider when they ask for workers’ compensation billing tips? Always, always, always submit a Request for Authorization (RFA) for the recommended t...
Topics Announced for Work Comp Billing Conference
Mar 30, 2017
Topics Announced for Work Comp Billing Conference
This September, DaisyBill is hosting a one-day conference in Burbank dedicated to understanding and managing the complexities of California workers’ comp billing. It’s called...
CPT Codes 99358 and 99359 Resource Notebook
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...
Billing Procedure Code 0232T for Platelet-Rich Plasma Injections
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 ...
Required Supporting Documentation for California Workers’ Comp Bills
Mar 16, 2017
Required Supporting Documentation for California Workers’ Comp Bills
Yesterday on the blog, we broke down the differences between the California Division of Workers’ Compensation (DWC) forms PR-3 and PR-4 for Primary Treating Physicians. Today...