California Workers' Comp
Mar 29, 2021
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
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
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
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
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
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
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
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
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
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...
Feb 10, 2021
Fresno USD Fails to Comply with Electronic Billing Regulations
For providers treating injured workers, electronic billing is by far the best billing option. For claims administrators in California, it’s not optional at all; accepting ele...
Jan 28, 2021
ESIS & ABM Industries - IBR Hall of Shame
We continue to look at the misbehavior of ESIS, which yesterday entered the IBR Hall of Shame for its deplorable treatment of a provider who prevailed in two Independent Bill...