California Workers' Comp

Procedure Code 0232T and Independent Bill Review
Apr 7, 2017
Procedure Code 0232T and Independent Bill Review
Late last month, we examined a particularly intriguing CPT Code – 0232T – as part of our ongoing investigation into when reimbursements are established “By Report.” For certa...
Billing Tip: Know Where to Send RFAs
Apr 4, 2017
Billing Tip: Know Where to Send RFAs
The first thing we tell a provider when they ask for workers’ compensation billing tips? Always, always, always submit a Request for Authorization (RFA) for the recommended t...
3DCA Decision Places Emphasis on RFA Timelines
Mar 31, 2017
3DCA Decision Places Emphasis on RFA Timelines
On Wednesday afternoon, the California 3DCA, or Third District Court of Appeal, issued a ruling in the Ramirez v. Workers’ Compensation Appeals Board case. This is an interes...
Topics Announced for Work Comp Billing Conference
Mar 30, 2017
Topics Announced for Work Comp Billing Conference
This September, DaisyBill is hosting a one-day conference in Burbank dedicated to understanding and managing the complexities of California workers’ comp billing. It’s called...
DWC Adopts New DMEPOS, Same as the Old DMEPOS
Mar 29, 2017
DWC Adopts New DMEPOS, Same as the Old DMEPOS
The days are flying by. 2017 started with a bang, as the California Division of Workers’ Compensation (DWC) adopted a slew of new fee schedules, and the reforms of Senate Bil...
CPT Codes 99358 and 99359 Resource Notebook
Mar 28, 2017
CPT Codes 99358 and 99359 Resource Notebook
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...
Billing Procedure Code 0232T for Platelet-Rich Plasma Injections
Mar 24, 2017
Billing Procedure Code 0232T for Platelet-Rich Plasma Injections
Last week on the blog, we examined the rare phenomenon of procedure codes whose reimbursements are established “by report.” This occurs when the Physician Fee Schedule fails ...
2017 Fee Schedule Changes Again – Learn How to Keep Up
Mar 22, 2017
2017 Fee Schedule Changes Again – Learn How to Keep Up
Well, that didn’t take long. Earlier this month – only eight days after officially adopting the Quarter 1 Physician Fee Schedule – the California Division of Workers’ Compens...
Required Supporting Documentation for California Workers’ Comp Bills
Mar 16, 2017
Required Supporting Documentation for California Workers’ Comp Bills
Yesterday on the blog, we broke down the differences between the California Division of Workers’ Compensation (DWC) forms PR-3 and PR-4 for Primary Treating Physicians. Today...
Understanding DWC Forms PR-3 and PR-4
Mar 15, 2017
Understanding DWC Forms PR-3 and PR-4
The California Division of Workers’ Compensation (DWC) produces a full slate of standardized forms to cover all aspects of the workers’ compensation system – everything from ...
“By Report” Reimbursements Explained: Part 1
Mar 14, 2017
“By Report” Reimbursements Explained: Part 1
One of DaisyBill’s biggest goals is to help medical professionals across California manage the nuances of the Official Medical Fee Schedule (OMFS). To that end, we spill a lo...
QME Report Filing Deadlines Under DWC Scrutiny
Mar 9, 2017
QME Report Filing Deadlines Under DWC Scrutiny
Per a recent report on the California Society of Industrial Medicine and Surgery (CSIMS) website, the Division of Workers’ Compensation (DWC) is taking new measures to enforc...