California DWC
Mar 22, 2022
PPO: No Provider Recourse for Unnamed Discounts
In California workers’ comp, the appeals process for disputing improper Preferred Provider Organization (PPO) reductions has a serious flaw.Routinely, Explanations of ...
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Feb 8, 2022
CA DWC Rigs IBR and Helps SCIF
A doctor treated a California injured worker. Subsequently, in an apparent attempt to avoid paying for the treatment, the State Compensation Insurance Fund deni...
Jan 29, 2022
DWC Public Hearing: Copy Service Fee Schedule
Have thoughts to share with the Division of Workers’ Compensation (DWC) regarding proposed changes to the Copy Service Fee Schedule? Mark your calendar. The DWC will hold a p...
Jan 7, 2022
2022 E/M Reimbursement Rates for CA Workers' Comp - Facility
California’s Division of Workers’ Compensation recently posted new reimbursement rates for Evaluation and Management (E/M) services. Below we list the new facility reimbursem...
Jan 6, 2022
2022 E/M Reimbursement for CA Workers' Comp - Non-Facility
California’s Division of Workers’ Compensation recently posted new reimbursement rates for Evaluation and Management (E/M) services. Below we list the new non-facility reimbu...
Jan 5, 2022
2022 Telehealth: 10 Important Billing Rules for CA Workers' Comp
As the COVID-19 pandemic drags on, telehealth remains a viable alternative to in-person treatment for California workers’ comp providers. Below are the most important ...
Jan 4, 2022
CA OMFS Update: 2022 'WC' Billing Codes
California’s Division of Workers’ Compensation (DWC) announced reimbursement updates to the Physician and Non-Physician Practitioner Services section of the Official M...
Jan 3, 2022
CA OMFS: 2022 Reimbursements Increase
As announced in a recent Newsline, California’s Division of Workers’ Compensation (DWC) issued an update to the Physician and Non-Physician Practitioner portion of the...
Jan 2, 2022
Changes to 2022 CA OMFS WC Physician Fee Schedule
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 ...
Dec 7, 2021
Berkshire Hathaway Refuses 892 Second Review Appeals
Berkshire Hathaway hath a way of defying California workers’ comp regulations, and refusing to pay doctors for authorized treatment provided to in...
Dec 6, 2021
JT2 Plays IBR Chicken (and Wins)
As we often point out, it can seem as if payers play a twisted game of IBR Chicken with doctors, reflexively denying bills and Second Review appeals only to change their mind...
Nov 30, 2021
10 Ways to Fix CA Workers' Comp
Today, the California Division of Workers’ Compensation (DWC) will host a virtual public meeting “to hear ideas to improve the efficiency and quality of care provided to inju...