California DWC
May 12, 2021
CNA Repeatedly Ignores California Law
By law, claims administrators must remit payment for Medical-Legal services within 60 days of receiving the physician’s bill. As of this writing, payment to one physician fro...
Apr 5, 2021
City & County of San Francisco's Misleading Reply in PPO Dispute
Recently, a DaisyBill provider disputed a reduction in reimbursement from the City and County of San Francisco (CCSF) for treating an injured employee. In the Explanation of ...
Apr 2, 2021
Broadspire Knows No Law But Its Own
Broadspire continues to break the rules, seemingly confident that California regulators will not hold the claims administrator to account. For months, we reported on B...
Mar 31, 2021
New CA Med-Legal Fee Schedule Effective April 1
California’s Office of Administrative Law (OAL) issued final approval of the revamped Medical-Legal Fee Schedule (MLFS) for workers’ compensation, effective for dates of serv...
Mar 29, 2021
CA OMFS: Physician Fee Schedule Update Effective April 1
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 ...
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...
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...
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...
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...
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 ...
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...
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 ...