Claims Admins EXPLOIT Lack of Regulations in Timely Filing Law
Sep 5, 2019
In 2016, California State Bill 1160 was signed into law, instituting new timely filing requirements for workers’ comp medical treatment bills. Since 2017, Labor Code Section ...
NonCompliant CNA, Crum & Forster, County of San Diego - Electronic EORs Not Optional
Aug 8, 2019
As California continues its transition to fully paperless workers’ comp billing and payment, some claims administrators have apparently decided to follow their own regulation...
CA OMFS: DMEPOS Fee Schedule Update Effective 7/1/ 2019
Jul 10, 2019
In Newsline No.: 2019-53, the California Division of Workers’ Compensation (DWC) announced updates to the Official Medical Fee Schedule for Durable Medical Equipment, Prosthe...
CA OMFS Update: Pathology/Clinical Lab Fee Schedule for 7/1/2019
Jul 9, 2019
On July 8, 2019, California’s Division of Workers’ Compensation (DWC) ordered an update to the Pathology and Clinical Laboratory section of the Official Medical Fee Schedule ...
CA Physician MUE Reimbursement Change as of 7/1/2019
Jun 25, 2019
In Newsline No.: 2019-46, the California Division of Workers’ Comp (DWC) announced changes to the Official Medical Fee Schedule for Physician Services / Non-Physician Practit...
CA Physician Reimbursements INCREASE as of 7/1/2019
Jun 19, 2019
In Newsline No.: 2019-46, the California Division of Workers’ Comp (DWC) announced changes to the Official Medical Fee Schedule for Physician Services / Non-Physician ...
SB 537: Physicians Should REVOLT Against Inequities
May 15, 2019
DaisyBill believes every California physician should be extremely alarmed by the proposed addition of Labor Code § 138.8 in SB 537. If passed as-is, § 138.8 would require the...
Updates to California's Guidelines for the Medical Treatment Utilization Schedule (MTUS)
Apr 10, 2019
The California Division of Workers’ Compensation (DWC) recently made two important announcements concerning the Medical Treatment Utilization Schedule (MTUS).First, th...
2019 Splinting & Casting Reimbursement Update
Feb 6, 2019
When navigating the seas of change, it’s refreshing to find an island of relative stability. Like California’s state-specific codes, the splinting and casting codes group (co...
York Misses the Mark: Paying 2019 Bills at 2018 OMFS Rates
Feb 6, 2019
Not one to avoid the spotlight, York Risk Services joins Sedgwick CMS in incorrectly applying the 2018 Physician Fee Schedule rates to services rendered in 2019. Our data sho...
California-Specific Codes Updated for 2019
Feb 4, 2019
With the flurry of new year fee schedule changes, California updated the Physician Fee Schedule reimbursement for its state-specific codes. These codes are explained in 8 CCR...
Location-Based Adjustments (GPCIs) Now in Effect for California, as of January 1, 2019
Jan 30, 2019
For better or worse, location-based adjustments are here for California workers’ comp. Find out how they impact reimbursements in 2019. As our preliminary calculations...