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California Workers' Comp
Feb 1, 2019
5 min read
0
Sedgwick Still Reimbursing at 2018 Rates for California
Since the beginning of 2019, Sedgwick CMS has incorrectly used the 2018 Physician Fee Schedule to reimburse providers. Our data indicates that Sedgwick is consistently and in...
Feb 1, 2019
4 min read
0
2019 CA Workers’ Comp Evaluation & Management Cheat Sheet
The 2019 changes to California’s reimbursements got your head spinning? Here’s a handy reimbursement cheat sheet for the most frequently used Evaluation & Management codes.
Nov 29, 2018
1 min read
0
CA OMFS Inpatient Hospital Fee Schedule Update
California’s Division of Workers’ Compensation (DWC) posted an adjustment to the Inpatient Hospital section of the Official Medical Fee Schedule (OMFS), effective for dischar...
Nov 18, 2018
4 min read
0
The 5 Point Checklist for CPT Codes 99358 and 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...
Nov 8, 2018
2 min read
0
CA Claims Admin Delays Payment, Skirts IBR Rules
When the Independent Bill Review (IBR) process overturns a claims administrator’s incorrect denial or adjustment, the claims administrator is legally bound to timely pay what...
Oct 12, 2018
3 min read
0
CA: Employers 100% Responsible for UR Mistakes
In a much-anticipated ruling, California’s Supreme Court ruled that a secondary injury derived from an incorrect Utilization Review (UR) decision is compensable under workers...
Oct 10, 2018
2 min read
0
Bill "Auditing" Services Try to Bamboozle Providers
Recently, MARS (Medical Audit and Review) made a very strange — and very dubious — offer to a California provider on behalf of the claims administrator, Farmers Insurance.
Oct 10, 2018
3 min read
0
No Response to Second Review Request? A Lien Is the Only Option
A recent refusal by Travelers Insurance to respond to a provider’s second review appeal, and subsequent denial of the provider’s request for Independent Bill Review (IBR), pe...
Oct 5, 2018
2 min read
0
It's Official: GPCI Reimbursement Adjustments Coming to CA Workers' Comp
California’s Division of Workers’ Compensation (DWC) has pulled the trigger: Geographic Practice Cost Indices (GPCI) will take effect on January 1, 2019. GPCI will divide the...
Oct 4, 2018
9 min read
0
CA OMFS Update: Outpatient/ASC Changes Effective October 1
California’s Division of Workers’ Compensation (DWC) ordered updates to the Hospital Outpatient and Ambulatory Surgical Center (ASC) portion of the Official Medical Fee Sched...
Oct 3, 2018
2 min read
0
CA DWC Proposes Pharma Fee Schedule Changes, Seeks Public Comment
California’s Division of Workers’ Compensation (DWC) proposed significant changes to the Pharmaceutical Fee Schedule. The proposals would bring pharmaceutical reimbursement c...
Sep 27, 2018
2 min read
0
CA OMFS: New Billing Codes for Physician Fee Schedule
California’s Division of Workers’ Compensation (DWC) ordered updates to the Physician and Non-Physician Practitioner portion of Official Medical Fee Schedule (OMFS), effectiv...
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