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...
Telehealth: CMS Medicare Adds 11 New Telehealth Services
Oct 21, 2020
Effective 10/14/2020, the Centers for Medicare & Medicaid Services (aka “CMS” or “Medicare”) added 11 new services to the List of Telehealth Services that Medicare will reimb...
CA OMFS: Physician Services Fee Schedule Update Effective 10/1/2020
Oct 14, 2020
A new order from the Administrative Director of California’s Division of Workers’ Compensation (DWC) updates the Physician and Non-Physician Practitioner Services portion of ...
Gallagher Bassett: Audit Complaint Filed With DWC
Oct 7, 2020
In a previous article, we demonstrated how Gallagher Bassett ignores the California-mandated workers’ comp Official Medical Fee Schedule (OMFS). Gallagher Bassett also ignore...
CA: Telehealth Video-Only Restrictions Changed; Audio-Only Allowed - Part 3
May 18, 2020
This is the third of our series on retroactive telehealth rule changes announced by the California Department of Workers’ Compensation (DWC) on 5/12/2020. Today we focus on t...
CA: Substantial Telehealth Reimbursement Increase for Workers' Comp - Part 2
May 15, 2020
This is the second of our series on retroactive telehealth rule changes announced by the California Department of Workers’ Compensation (DWC) on 5/12/2020. Today we focus on ...
California Retroactively Changes Telehealth Reimbursement - Part 1
May 14, 2020
On 5/7/2020 the California Division of Workers’ Comp (DWC) Administrative Director, George P. Parisotto, issued a new Order with retroactive changes to the reimbursement calc...
OMFS: DWC Orders Further Pathology/Clinical Lab Adjustments
Apr 29, 2020
California’s Division of Workers Compensation (DWC) ordered further adjustments to the Pathology and Clinical Laboratory Section of the state’s Official Medical Fee Schedule ...
Providers, Ignore Anthem's Incorrect Telehealth Claims (and don't ingest Lysol, either)
Apr 27, 2020
On Friday, Anthem Workers’ Compensation sent an email to workers’ comp providers with misleading claims regarding telehealth compliance. The email misrepresents telehealth pr...