California Workers' Comp
Mar 8, 2023
LA County to QME/AMEs: Go Back to Snail Mail
The year is 2023, and the County of Los Angeles wants Medical-Legal physicians to do business like it’s 1978. The public employer insists that QMEs and AMEs must mail ...
Mar 7, 2023
e-Bills: How To Send Workers' Comp Documentation
Millions of (rapidly) paid e-bills prove that electronic billing works for workers’ comp. But to send a workers’ comp e-bill, the provider needs the right tool ...
Mar 2, 2023
5 Myths About Workers' Comp e-Billing
So many doctors avoid worker’s comp, for understandable reasons. The problems are real and well-documented (especially on this blog). For many doctors, the cost/benefi...
Feb 27, 2023
CA Employees: ASAP, Predesignate Your MD
The problem: California employers and workers’ comp insurers restrict care, by limiting injured workers to doctors within the applicable Medical Provider Network (MPN). For a...
Feb 22, 2023
CPT 99358 & 99359: Payable in 2023
California workers’ comp billing is complicated — but that’s what daisyBill is here for.Effective February 15, 2023, an update to the Official Medical Fee Schedule (OM...
Feb 21, 2023
CPT 99358 & 99359: Error Corrected
With apologies for any confusion, we offer the following correction.Our February 13 2023 article, clarifying that billing codes CPT 99358 and CPT 99359 remain payable ...
Feb 15, 2023
Data: CA UR Decisions 2022
One of the great sources of friction in California workers’ comp is the Utilization Review (UR) and treatment authorization process — the critical process that determines whe...
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Feb 14, 2023
2023 CA Physician Fee Schedule Changes
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 ...
Feb 9, 2023
E/M Data: CPT 99214 Reimbursement 2022
Far too often, California providers are not receiving Official Medical Fee Schedule (OMFS) rates for Evaluation and Management (E/M) for injured workers — as evidenced by our...
Feb 8, 2023
Data: SCIF Pays Medicare Rates for E/M Services
Like The Zenith, California’s State Compensation Insurance Fund (SCIF) consistently pays Medicare rates to doctors for treating injured workers.According to data from ...
Feb 7, 2023
Data: Zenith Pays Medicare Rates for E/M Services
According to data from over 10,000 e-bills submitted for 2022 dates of service via daisyBill, insurer The Zenith paid 76% of the reimbursement rates established by California...
Feb 6, 2023
Anthem PPO Contract Renders OMFS Meaningless
At first glance, recent updates to California’s Official Medical Fee Schedule (OMFS) for workers’ comp may seem like a raise for doctors. By establishing OMFS rates at roughl...