Support Essential Workers: Suspend Workers' Comp Reporting Requirements
Mar 26, 2020
While the rest of us come together by staying apart, not all Californians have the option of social distancing. Essential workers accept the high risk of exposure to COVID-19...
California Workers' Comp Telehealth: 3 Things Providers Should Know
Mar 25, 2020
Telehealth was always the future. Suddenly, it’s the present. Is your office ready for the pivot to remote treatment?California workers’ comp providers may continue to...
$47 Million and Counting: Second Review Saves Provider Revenue
Mar 6, 2020
California workers’ comp providers face an inexcusable amount of hassle, red tape, and outright abuse in the struggle to collect correct reimbursement. Take it from us...
California IBR Fee Reduced Effective January 2020
Mar 5, 2020
Finally, some good news about Independent Bill Review (IBR)! Effective January 1, 2020, the required filing fee for providers requesting IBR dropped from $195 to $180.
California-Specific Codes - 2020 Reimbursement Updates
Feb 6, 2020
Attention California providers -- in 2020 reimbursements increased for all California-specific workers’ comp codes!In the Physician Fee Schedule, these state-specific ...
CPTs 99358 & 99359 - 2020 CA Reimbursement Cheat Sheet
Feb 5, 2020
More good news! In 2020 California workers’ comp reimbursements increased for CPT Codes 99358 and 99359.Below, we’ve compiled a handy reimbursement cheat sheet ...
CA Interpreters: No Second Review = No Payment
Dec 2, 2019
Providers — interpreters in particular — be advised: a California appeals court ruled that claims administrator Meadowbrook Insurance is not required to pay a disputed fee fo...
Hanover –> What the H*llover is Going On?
Nov 21, 2019
We have yet another tale of a payer flagrantly ignoring its duty to compliantly process provider bills for treatment of injured workers. This account of payer friction highli...
SB 537: California RFA and Utilization Review Data
Oct 15, 2019
Last week Gavin Newsom, who serves as Governor of California, signed SB 537 into law, thereby adding a new section 138.8 to the Labor Code. This new §138.8 requires the Depar...
The Zenith Unsucessfully Attempts to Undermine IBR Request
Oct 14, 2019
Claims administrators continue to innovate new techniques that make it harder for providers to receive proper reimbursement. In this installment, we tell a tale of the length...
CA OMFS: DMEPOS Fee Schedule Update Effective 10/1/2019
Oct 10, 2019
In Newsline No.: 2019-75, the California Division of Workers’ Compensation (DWC) announced updates to the Official Medical Fee Schedule for Durable Medical Equipment, Prosthe...
CA OMFS: Pathology/Clinical Lab Fee Schedule Update Effective 10/1/2019
Oct 8, 2019
On October 4, 2019, California’s Division of Workers’ Compensation (DWC) ordered an update to the Pathology and Clinical Laboratory section of the Official Medical Fee Schedu...