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California Workers' Comp
Mar 30, 2021
2 min read
0
CA: New Med-Legal Fee Schedule Pending
A reimagined Medical-Legal Fee Schedule is on the way.Following the required public hearing and comment period, California’s Division of Workers’ Compensation (DWC) fi...
Mar 30, 2021
2 min read
0
Zurich Denies Liability After Accepting Liability
Zurich recently denied liability for an injured workers’ treatment, claiming the 2003 injury was not work-related — despite the fact that Zurich already authorized the treatm...
Mar 29, 2021
4 min read
0
CA OMFS: Physician Fee Schedule Update Effective April 1
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 ...
Mar 26, 2021
3 min read
0
Zurich Delays Telehealth Reimbursement During Pandemic
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...
Mar 24, 2021
4 min read
0
IBR Hall of Shame: Employers
Employers Holdings set a shameful new standard of indifference with regard to promptly and correctly reimbursing providers. The insurer incorrectly denied payment, disregarde...
Mar 22, 2021
4 min read
0
How To Stop A Network From Taking Your Revenue
Recently, a DaisyBill provider contacted us to discuss a disturbing network contract, one that expands its net well beyond what this provider initially believed...
Mar 15, 2021
5 min read
0
How to Apply HCPCS G2212 in CA Workers' Comp
Important Update: The DWC adopted an MUE limiting the number of units of G2212 providers may bill. Details below!This year, California’s Division of Workers’ Compensat...
Mar 12, 2021
3 min read
0
Gallagher Bassett, Foster Farms Lay A Rotten Egg in CA
Update: As of April 1, 2021 Gallagher Bassett can locate and process claims for Foster Farms employees. Workers’ compensation claims for injured employees of Foster Fa...
Mar 9, 2021
4 min read
0
2021 Facility E/M Reimbursement Rates for CA Workers' Comp
Evaluation and Management (E/M) billing is very different for California workers’ comp physicians in 2021. Among the changes to the Physician Fee Schedule are new reim...
Mar 8, 2021
5 min read
0
2021 E/M Reimbursement Rates for CA Workers' Comp
As we reported previously, California’s Division of Workers’ Compensation made major changes to Evaluation and Management (E/M) billing for 2021. In addition to updati...
Mar 4, 2021
5 min read
0
CA OMFS: E/M Billing - 2021 Major Changes
Effective March 1, updates to California’s Physician and Non-Physician Practitioner Fee Schedule significantly alter the way providers bill for Evaluation and Management (E/M...
Mar 2, 2021
4 min read
0
ESIS + Conduent + StrataCare = Provider Torment
Preferred Provider Organizations (PPOs) profit from reducing the reimbursements providers receive for treating injured workers. Yet, we would argue that providers (and injure...
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