California DWC

AmTrust: Serious Violation of CA e-Billing Law

AmTrust North America refuses to comply with the most basic workers’ comp electronic billing mandates. In that refusal, AmTrust completely undermines the purpose of workers’ ...

AmTrust: 31,514 Audit Complaints Submitted

AmTrust North America is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers’ comp law and to impose...

CA OMFS Update: Outpatient/ASC

California’s Division of Workers’ Compensation (DWC) ordered updates to the Hospital Outpatient and Ambulatory Surgical Center (ASC) portion of the Official Medical Fee Sched...

CA OMFS Update: Pathology & Clinical Laboratory

On March 30, 2022, the California Division of Workers’ Compensation (DWC) ordered an update to the Pathology and Clinical Laboratory section of the Official Medical Fee Sched...

2022 CA OMFS Update: 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 ...

2022 CA OMFS Update: DMEPOS

California’s Division of Workers’ Compensation (DWC) updated the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) portion of the Official Medical Fee ...

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 ...

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...

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...

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...

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...

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 ...