California Workers' Comp
Aug 2, 2017
Hospital Outpatient Prospective Payment System: C-APC Explained
Yesterday on the blog, we described how Medicare’s adoption of Addendum B for the Hospital Outpatient Departments and Ambulatory Surgical Centers (ASCs) fee schedule moves th...
Aug 1, 2017
Hospital Outpatient Prospective Payment System: J1 Status Indicator Explained
Late last year, the Division of Workers’ Comp (DWC) drastically changed the reimbursement calculations used for Hospital Outpatient Departments and Ambulatory Surgical Center...
Jul 28, 2017
Kickbacks, Align, And The Burden Of Workers’ Comp Fraud
Another week, another round of headlines about California workers’ comp fraud. The latest news? A massive U.S. Department of Justice bust of 412 people accused of defrauding ...
Jul 27, 2017
Schedule Released For DaisyBillaroo
We’re just two months away from hosting our first workers’ comp billing conference, and we’re buzzing with excitement. We can’t wait to spend an entire day with leaders acros...
Jul 25, 2017
Comments Open For Revised Workers’ Comp Drug Formulary
When state legislators proposed a workers’ comp drug formulary back in 2015, they knew it would take some time to work out all the kinks. But legislators may not have foresee...
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...