California 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...
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...
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 ...
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...
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...
May 15, 2020
CA: Substantial Telehealth Reimbursement Increase for Workers' Comp - Part 2
This is the second 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 ...
May 14, 2020
California Retroactively Changes Telehealth Reimbursement - Part 1
On 5/7/2020 the California Division of Workers’ Comp (DWC) Administrative Director, George P. Parisotto, issued a new Order with retroactive changes to the reimbursement calc...
Apr 29, 2020
OMFS: DWC Orders Further Pathology/Clinical Lab Adjustments
California’s Division of Workers Compensation (DWC) ordered further adjustments to the Pathology and Clinical Laboratory Section of the state’s Official Medical Fee Schedule ...
Apr 27, 2020
Providers, Ignore Anthem's Incorrect Telehealth Claims (and don't ingest Lysol, either)
On Friday, Anthem Workers’ Compensation sent an email to workers’ comp providers with misleading claims regarding telehealth compliance. The email misrepresents telehealth pr...
Apr 24, 2020
CA: Authorization for Treatment Provided via Telehealth
When we published Telehealth Cheat Sheet: California Providers’ Guide, many providers reached out to us with questions regarding authorization requirements. For clarification...
Apr 9, 2020
Ease Authorization Requirements for Workers' Comp During COVID-19
For California providers, obtaining authorization for workers’ compensation treatment requires substantial administrative resources. As COVID-19 strains those resources, prio...
Apr 8, 2020
Zoom Privacy, Security Issues May Affect Telehealth
Health care providers using (or considering) teleconferencing software Zoom, heed this important warning: serious security, privacy, and data protection issues reportedly pla...