California Workers' Comp

WCAB RFA Cases and Why They Matter, Part II
Mar 16, 2015
WCAB RFA Cases and Why They Matter, Part II
In my last post I set out why I’m so enthusiastic about Requests for Authorization (RFAs). For those of you who want more detail, I’m going to summarize the act...
More on Reduced Filing Fees for Workers' Comp IBR and IMR
Feb 27, 2015
More on Reduced Filing Fees for Workers' Comp IBR and IMR
Yesterday I posted about recent Independent Medical Review (IMR) and Independent Bill Review (IBR) fee reductions, effective January 1, 2015. I’m following up o...
DWC Reduces Filing Fees for Work Comp IBRs and IMRs
Feb 26, 2015
DWC Reduces Filing Fees for Work Comp IBRs and IMRs
The Division of Workers’ Compensation (DWC) just reduced fees for Independent Bill Reviews (IBRs) and Independent Medical Reviews (IMRs), effective January 1. The DWC ...
DWC Posts Changes to the Workers' Comp OMFS
Feb 19, 2015
DWC Posts Changes to the Workers' Comp OMFS
Yesterday the DWC released its adjustments to the workers’ compensation fee schedule, which it had delayed since the beginning of the year. These changes take effect for date...
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Feb 17, 2015
Let's Talk Work Comp in Oakland!
Last week we attended and showed at the DWC’s annual educational conference in Los Angeles, and this week we head to Oakland for the Northern California version of the confer...
2015 Work Comp Fee Schedule (OMFS) Changes - Still Waiting
Feb 3, 2015
2015 Work Comp Fee Schedule (OMFS) Changes - Still Waiting
We’ve been getting a lot of questions about the 2015 changes to the workers’ comp OMFS, which will affect just about every reimbursement.
Do Good for the Children of Injured Workers
Jan 16, 2015
Do Good for the Children of Injured Workers
During this January lull, now that we’re finally back into the swing of things after the holidays, let’s do something nice for the workers’ comp community. Kids’ Chance Calif...
DWC Proposes Even More Onerous RFA Requirements for Providers
Jan 9, 2015
DWC Proposes Even More Onerous RFA Requirements for Providers
More work for less money, that’s the continuing story of workers’ comp treatment
Once Again, Maximus Mis-Applies Work Comp Fee Schedules
Jan 6, 2015
Once Again, Maximus Mis-Applies Work Comp Fee Schedules
Maximus IBR determination confuses physician-administered and physician-dispensed drug, again.
Struggling with City of LA Work Comp Bills? This Might Be Why
Dec 29, 2014
Struggling with City of LA Work Comp Bills? This Might Be Why
City of LA requires additional zeroes in some of their work comp claim numbers.
Maximus Independent Bill Review: Incorrectly Denied IBRs
Dec 16, 2014
Maximus Independent Bill Review: Incorrectly Denied IBRs
Here at DaisyBill, our goal is to ensure the proper processing of all workers’ comp bills; in particular, that all parties observe the regulations mandated by the DWC. When p...
Sedgwick Incorrect Denials of PR-2 Reports
Dec 10, 2014
Sedgwick Incorrect Denials of PR-2 Reports
Recently, several clients have reported Sedgwick refusing to pay PR-2 reports when billed with a reimbursable prolonged service code (such as a 99354).In each case, the prima...