California Workers' Comp

New Fee Schedule Adds Place of Service Code for Telemedicine

This week, we provided an overview of the upcoming changes to the Physician and Non-Physician section of the Official Medical Fee Schedule (OMFS). Today, we turn our attentio...

Non-Face-To-Face Service Reimbursable 2017 (CPT 99358, 99359)

Changes have been made to the California OMFS since the publication of this article. Be sure to see the latest analyses here and here.2021 OMFS updates drastically cha...

DWC Adopts Changes to Physician Fee Schedule, Effective March 1

Late last month, the California Division of Workers’ Compensation (DWC) posted an order announcing their upcoming adjustment to the Physician and Non-Physician section of the...

Missed Connections: Indirect Routing of Workers’ Comp Electronic Bills

Today, we continue our multi-part examination of compliant electronic billing for California workers’ comp bills. We kicked off the series with a primer, before diving into e...

EDI Agent Responsibilities in California Workers’ Comp

Over the past several weeks, we’ve taken a close look at various aspects of compliant e-billing for California workers’ compensation bills. Today, we turn our focus to the ro...

Electronic EORs for Workers’ Comp: Timing and Compliance

This month, we’ve placed an emphasis on analyzing and explaining the vagaries of electronic billing for California workers’ compensation medical bills. The state’s Division o...

Confusion and Running in Circles: AIG / MedRisk Incorrect Denials

Recently DaisyBIll providers reported receiving incorrect and very confusing denials from MedRisk, a managed care provider network, for bills that were actually submitted dir...

SB 1175: Accelerating Workers' Comp Process - Don't Miss Out

Early in 2017, a piece of workers’ comp legislative reform is making its presence known to California claims administrators and providers. No, we’re not talking about Senate ...

7 Reasons for Rejected Workers’ Comp Electronic Bills

Last week in this space, we published an introductory primer on compliant workers’ compensation electronic billing. Since its introduction in 2012, electronic billing has con...

New Original Bill Requirement Raises Lien Questions

On a typically overcast San Francisco morning earlier this month, the California Workers’ Compensation Appeals Board (WCAB) held a public hearing. The subject? Proposed regul...

Compliant Electronic Billing for Workers’ Comp: The Basics

Since October 2012, California claims administrators are legally obligated to compliantly accept and process workers’ compensation electronic bills. In that time, electronic ...

DWC Releases New Lien Forms to Comply with SB 1160

At the start of the year, the California Division of Workers’ Compensation (DWC) made good on the lien reforms promised by Senate Bill 1160. Along with the Workers’ Compensat...