California Workers' Comp
Jan 23, 2018
Lockard List No Longer Published; Better Alternative Available
If your office looked to the Lockard Industrial Insurance Companies’ List to find contact information for workers’ comp payors, you’ll need to look elsewhere. The gree...
Jan 19, 2018
DWC 2018 Drug Formulary Webinar Video Available
The Division of Workers' Compensation (DWC) posted a video replay of their recent webinar on the newly effective drug formulary. The DWC hosted the webinar in December, follo...
Jan 17, 2018
Glitch at York Risk May Delay Bill Payment
Technical problems at third-party administrator York Risk Services left roughly 15,000 bills unprocessed. The error was discovered and resolved by York’s in-house bill review...
Jan 16, 2018
SCIF Resolves Glitch Behind Incorrect Work Comp Bill Denials
Several providers recently received incorrect denials of bills from California’s State Compensation Insurance Fund (SCIF), the state’s largest provider of work comp insurance...
Jan 12, 2018
Authorization 2018: New Billing and RFA Deadlines
The new “fast-track” automatic authorization process took effect on January 1, 2018. Under certain circumstances, some providers may provide “automatically” authorized treatm...
Jan 9, 2018
DWC 2018 Drug Formulary Webinar Transcript Available
Last month, Division of Workers’ Compensation (DWC) hosted a detailed live webinar on the newly effective drug formulary. For those who could not attend the webinar, the DWC ...
Jan 5, 2018
Authorization: 6 Qualifying Conditions for Fast-track Automatic Authorization
On January 1, 2018, the new “fast-track” automatic authorization takes effect. In certain cases, some providers will be able to provide treatment without first submitting a R...
Jan 4, 2018
FYI: Fresno County Changes TPA
Effective January 1, the employer County of Fresno transferred all claims from third-party administrator (TPA) Risico Claims Management, Inc. to Acclamation Insurance Managem...
Jan 3, 2018
Med-Legal Billing: How to Obtain Reimbursement for Diagnostic Tests
The conditions under which claims administrators must pay medical-legal doctors for diagnostic tests are specific and narrow. To ensure reimbursement, it’s important to know ...
Dec 28, 2017
This Holiday, Remember Who Work Comp Affects
We write a lot about the struggles of workers’ comp professionals. As providers, payors and regulators navigate the deep weeds of rules, codes, conflicts, and everything else...
Dec 23, 2017
2018 Radiology Reimbursements (Professional Services): Cheat Sheet
Lately, we brought readers the Division of Workers’ Compensation (DWC)’s recent updates to the Physician fee schedule for evaluation & management and surgery. Today, we take ...
Dec 20, 2017
2018 Surgery Reimbursements: Cheat Sheet
2018 is around the corner, and the Division of Workers’ Compensation (DWC) recently posted updates to the Official Medical Fee Schedule (OMFS), effective January 1. La...