California Workers' Comp
Jun 29, 2016
Fee Alert: DWC Updates OMFS to Reflect Medicare Payment Changes
Effective July 1, 2016, the Division of Workers’ Compensation (DWC) updated the Official Medical Fee Schedule (OMFS) to reflect changes in the Medicare payment system, as req...
May 23, 2016
🔎 Search Thousands of IBR and IMR Decisions 🔎
With two new workers’ comp tools, searching through past decisions just got a whole lot easier:DWC’s announces super-useful search tool for Independent Medical Review ...
Apr 25, 2016
Fee Alert: Series of Changes to Work Comp Fee Schedules
To determine reimbursements for Physician services rendered in 2016, the Division of Workers’ Compensation (DWC) adopted three different Physician Fee Schedules since January...
Apr 5, 2016
Fee Alert: April 1 Fee Schedule Changes (Physician Services + DMEPOS)
Effective for all dates of service on or after April 1, 2016, the DWC adopted changes to the Physician Services and Non-Physician Practitioner Services fee schedule. Reimburs...
Mar 31, 2016
DWC Releases New Version of Physician’s Guide to Medical Practice in the California Workers’ Compensation System
For the first time in 15 years, the Department of Workers’ Compensation (DWC) released a new edition of its Physician’s Guide to Medical Practice in the California Workers’ C...
Mar 25, 2016
More Questions Answered for Request for Authorization (RFA)
I recently posted answers to questions from DaisyBill’s Request for Authorization (RFA) webinar. Many people found those answers helpful, so I’m answering even more questions...
Mar 22, 2016
DWC Cracking Down on Late Responses to Requests for Authorization
On February 10th, 2016, the DWC issued DIR Newsline 2016-19Â reminding claims administrators that adhering to Utilization Review (UR) timelines is mandatory and that failure t...
Mar 15, 2016
Football, Workers’ Comp, Traumatic Brain Injuries, and Utilization Review: WCAB Emphasizes UR Regulations
A recent court case highlights two connected battles unfolding in front of vastly different audiences. The high-profile battle takes place in headlines, on ESPN, and in the m...
Feb 26, 2016
Summary of Pathology and Clinical Laboratory Changes: CMS Final Determinations for 2016 Work Comp Fee Schedule
Effective January 1st, 2016, California workers’ comp adopts Medicare’s 2016 Clinical Laboratory Final Determination. Read on for a summary of the following changes, includin...
Feb 22, 2016
Your Request for Authorization (RFA) Questions Answered
Hands down, answering your questions is the most popular part of our work comp webinars. This post answers some of the most-asked questions from last week’s Request for Autho...
Feb 4, 2016
Most Frequently Used Procedure Codes: 2016 Work Comp OMFS Changes
Today’s article focuses on the reimbursement changes to the most frequently used procedure codes in the Physician Fee Schedule of the workers’ comp OMFS. These codes include ...
Feb 2, 2016
Uncovering the Cost of Unknown Work Comp Discounts Pt 1
If you’re a provider, chances are you’ve signed a discount contract for worker’s comp services or you’ve been approached about signing one. These contracts are tempting, beca...