California DWC

Zurich Delays Telehealth Reimbursement During Pandemic
Mar 26, 2021
Zurich Delays Telehealth Reimbursement During Pandemic
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
How to Apply HCPCS G2212 in CA Workers' Comp
Important Update: The DWC adopted an MUE limiting the number of units of G2212 providers may bill. Details below!This year, California’s Division of Workers’ Compensat...
Warning: Do Not Accept Credit Cards as Payment
Feb 23, 2021
Warning: Do Not Accept Credit Cards as Payment
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
CA OMFS - Reimbursements Reduced for Physician Services
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
CA DWC: 2021 Fee Schedule Updates as of 1/5/2021
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
AIG: 11,000+ Violations and Counting
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 Adopts 11 New Telehealth Service Codes
Oct 29, 2020
DWC Adopts 11 New Telehealth Service Codes
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
Broadspire Employers: Audit Complaint Filed With DWC
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
Telehealth: CMS Medicare Adds 11 New Telehealth Services
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
CA OMFS: Physician Services Fee Schedule Update Effective 10/1/2020
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
Gallagher Bassett: Audit Complaint Filed With DWC
In a previous article, we demonstrated how Gallagher Bassett ignores the California-mandated workers’ comp Official Medical Fee Schedule (OMFS). Gallagher Bassett also ignore...
Audio-Only Telehealth Now Permitted in CA - Part 3
May 18, 2020
Audio-Only Telehealth Now Permitted in CA - Part 3
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...