California DWC
Feb 6, 2019
2019 Splinting & Casting Reimbursement Update
When navigating the seas of change, it’s refreshing to find an island of relative stability. Like California’s state-specific codes, the splinting and casting codes group (co...
Feb 6, 2019
York Misses the Mark: Paying 2019 Bills at 2018 OMFS Rates
Not one to avoid the spotlight, York Risk Services joins Sedgwick CMS in incorrectly applying the 2018 Physician Fee Schedule rates to services rendered in 2019. Our data sho...
Feb 4, 2019
California-Specific Codes Updated for 2019
With the flurry of new year fee schedule changes, California updated the Physician Fee Schedule reimbursement for its state-specific codes. These codes are explained in 8 CCR...
Jan 30, 2019
Location-Based Adjustments (GPCIs) Now in Effect for California, as of January 1, 2019
For better or worse, location-based adjustments are here for California workers’ comp. Find out how they impact reimbursements in 2019. As our preliminary calculations...
Oct 3, 2018
CA DWC Proposes Pharma Fee Schedule Changes, Seeks Public Comment
California’s Division of Workers’ Compensation (DWC) proposed significant changes to the Pharmaceutical Fee Schedule. The proposals would bring pharmaceutical reimbursement c...
Sep 27, 2018
CA OMFS: New Billing Codes for Physician Fee Schedule
California’s Division of Workers’ Compensation (DWC) ordered updates to the Physician and Non-Physician Practitioner portion of Official Medical Fee Schedule (OMFS), effectiv...
Sep 26, 2018
DWC Will Hold Meeting on Controversial Medical-Legal Rule Proposals
In May of this year, California’s Division of Workers’ Compensation (DWC) announced proposed changes to the state Medical-Legal Fee Schedule (MLFS), and welcomed public comme...
Aug 3, 2018
CA DWC Revises OMFS Update, Resolves MUE/Acupuncture Confusion
A recently adopted Medicare Medically Unlikely Edit (MUE) assigned a value of “0” to many common workers’ comp billing codes, including those for acupuncture services. Provid...
Aug 1, 2018
OMFS Update: Reimbursement Change For Pathology and Clinical Laboratory Services
California’s Division of Workers’ Compensation (DWC) ordered an update to the Pathology and Clinical Laboratory section of the Official Medical Fee Schedule, bringing the OMF...
Jan 1, 2017
CA Providers Routinely Stiffed for IBR Filing Fee
As reported yesterday, the filing fee California providers must pay to request Independent Bill Review (IBR) will increase in 2025, from $180 to $195.IBR is the proces...