CNA Repeatedly Ignores California Law
May 12, 2021
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...
City and County of San Francisco's Misleading Response in PPO Discount Dispute
Apr 5, 2021
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 ...
Broadspire Knows No Law But Its Own
Apr 2, 2021
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...
New CA Med-Legal Fee Schedule Effective April 1
Mar 31, 2021
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...
CA OMFS: Physician Fee Schedule Update Effective April 1
Mar 29, 2021
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 ...
Zurich Delays Telehealth Reimbursement During Pandemic
Mar 26, 2021
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
This year, California’s Division of Workers’ Compensation (DWC) debuted a new code for billing extended Evaluation and Management (E/M) time: Healthcare Common Procedure Codi...
CA DWC: 2021 Fee Schedule Updates as of 1/5/2021
Jan 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 ...
DWC Retroactively Adopts 11 New Telehealth Service Codes
Oct 29, 2020
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
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
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: Telehealth Video-Only Restrictions Changed; Audio-Only Allowed - Part 3
May 18, 2020
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...