California Workers' Comp
Jul 21, 2017
Data! CPT 99358 Reimbursement
The 2017 Physician Fee Schedule, officially adopted by the California Division of Workers’ Compensation (DWC) for dates of service on or after March 1, included the introduct...
Jul 20, 2017
Reminder: Consultation Codes Not Payable Without Authorization
Here’s an uncontroversial statement: Workers’ comp is constantly changing. In fact, rules and regulations change so quickly that many medical billers and providers struggle t...
Jul 18, 2017
WC002 And You: PR-2 Reports and Reimbursement
Every California workers’ comp provider that acts as a primary treating physician (PTP) for injured workers is familiar with the Treating Physician's Progress Report, also kn...
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Jul 13, 2017
A Guide To Medically Unlikely Edits For Workers’ Comp Bills
The DaisyBill Support Team recently received a billing question about procedure code J7321 for intra-articular injection. Our client billed for two units of J7321, and per th...
Jul 11, 2017
DWC and RAND Institute Weigh In On Work Comp Fraud
It’s no secret: Workers’ comp fraud is officially on notice throughout California. Recent months have seen a wide range of anti-fraud measures embraced and implemented by the...
Jul 7, 2017
Q3 2017 DMEPOS Fee Schedule Adopted By DWC
After keeping us waiting for a few days, the California Division of Workers’ Compensation (DWC) officially posted an order adjusting the Durable Medical Equipment, Prosthetic...
Jul 5, 2017
Still Waiting on Adoption of Q3 DMEPOS Fee Schedule
The California Division of Workers’ Compensation (DWC) typically posts an order every quarter adjusting the Durable Medical Equipment, Prosthetics, and Orthotics (DMEPOS) sec...
Jun 29, 2017
Don’t Be Fooled: Authorization Guarantees Payment
A DaisyBill provider recently emailed our headquarters with an interesting scenario. The provider agreed to treat an injured worker, received authorization for services, perf...
Jun 28, 2017
Combat Discount Contract Reimbursements
Many California work comp providers believe that signing discount contracts is the only way to participate in a network. While that’s not actually true, most providers still ...
Jun 27, 2017
Service Required For Retroactive Lien Filing Deadline
As the July 1 deadline to file a retroactive lien declaration under Labor Code 4903.05 approaches, our Support Team is fielding questions left and right. Among the biggest ca...
Jun 23, 2017
Audit Complaints Reveal Non-Compliance in California Workers’ Comp
Longtime clients and blog readers know that we’re big believers in Audit Complaints*. They’re a simple way to hold claims administrators accountable, and you can file anonymo...
Jun 22, 2017
Zurich (Still) Issuing Deficient Electronic EORs
A DaisyBill client recently reminded us of a long-running issue with the claims administrator Zurich Insurance North America. Some time ago, Zurich adopted a policy of no lon...