City and County of San Francisco's Misleading Response in PPO Discount Dispute
Apr 5, 2021
Recently, a DaisyBill provider disputed a reduction in reimbursement from the City and County of San Francisco (CCSF) for treating an injured employee. In the Explanation of ...
Broadspire Knows No Law But Its Own
Apr 2, 2021
Broadspire continues to break the rules, seemingly confident that California regulators will not hold the claims administrator to account. For months, we reported on B...
New CA Med-Legal Fee Schedule Effective April 1
Mar 31, 2021
California’s Office of Administrative Law (OAL) issued final approval of the revamped Medical-Legal Fee Schedule (MLFS) for workers’ compensation, effective for dates of serv...
CA OMFS: Physician Fee Schedule Update Effective April 1
Mar 29, 2021
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 ...
Zurich Delays Telehealth Reimbursement During Pandemic
Mar 26, 2021
Zurich seems committed to a policy of improperly denying reimbursement for telehealth services, during a pandemic in which remote treatment is crucial to maintaining care for...
How to Apply HCPCS G2212 in CA Workers' Comp
Mar 15, 2021
This year, California’s Division of Workers’ Compensation (DWC) debuted a new code for billing extended Evaluation and Management (E/M) time: Healthcare Common Procedure Codi...
Warning: Do Not Accept Credit Cards as Payment
Feb 23, 2021
In the past we have written a number of posts (including one about Broadspire) warning providers to not accept credit card payments issued by payers such as claims administra...
CA OMFS - Reimbursements Reduced for Physician Services
Feb 12, 2021
Yesterday, the California Division of Workers’ Compensation (DWC) announced the 2021 reimbursement changes to the Physician Services section of the Official Medical Fee Sched...
CA DWC: 2021 Fee Schedule Updates as of 1/5/2021
Jan 5, 2021
California workers’ comp fee schedules change on a regular basis, though not always on a precise schedule. This article sums up the late 2020 and early 2021 updates thus far ...
AIG: 11,000+ Violations and Counting
Nov 12, 2020
Earlier this year, AIG Claims, Inc. (AIG) made the switch to Carisk as its workers’ compensation electronic clearinghouse. However, and unfortunately, this change had no impa...
DWC Retroactively Adopts 11 New Telehealth Service Codes
Oct 29, 2020
In a Newsline dated October 27, 2020, the California Division of Workers Compensation (DWC) announced the adoption of the updated Medicare List of Telehealth Services, which ...
Broadspire Employers: Audit Complaint Filed With DWC
Oct 21, 2020
In a recent article, Broadspire Defies CA Law and Denies Appeals Sent by Providers, we described Broadspires’ success in defying California workers’ comp laws without consequ...