California Workers' Comp
Jan 27, 2017
Electronic EORs for Workers’ Comp: Timing and Compliance
This month, we’ve placed an emphasis on analyzing and explaining the vagaries of electronic billing for California workers’ compensation medical bills. The state’s Division o...
Jan 24, 2017
Confusion and Running in Circles: AIG / MedRisk Incorrect Denials
Recently DaisyBIll providers reported receiving incorrect and very confusing denials from MedRisk, a managed care provider network, for bills that were actually submitted dir...
Jan 24, 2017
SB 1175: Accelerating Workers' Comp Process - Don't Miss Out
Early in 2017, a piece of workers’ comp legislative reform is making its presence known to California claims administrators and providers. No, we’re not talking about Senate ...
Jan 19, 2017
7 Reasons for Rejected Workers’ Comp Electronic Bills
Last week in this space, we published an introductory primer on compliant workers’ compensation electronic billing. Since its introduction in 2012, electronic billing has con...
Jan 16, 2017
New Original Bill Requirement Raises Lien Questions
On a typically overcast San Francisco morning earlier this month, the California Workers’ Compensation Appeals Board (WCAB) held a public hearing. The subject? Proposed regul...
Jan 13, 2017
Compliant Electronic Billing for Workers’ Comp: The Basics
Since October 2012, California claims administrators are legally obligated to compliantly accept and process workers’ compensation electronic bills. In that time, electronic ...
Jan 10, 2017
DWC Releases New Lien Forms to Comply with SB 1160
At the start of the year, the California Division of Workers’ Compensation (DWC) made good on the lien reforms promised by Senate Bill 1160. Along with the Workers’ Compensat...
Jan 5, 2017
DWC Changes 95% of Path/Lab Reimbursements
It’s the most wonderful time of the year to be a California workers’ compensation blogger – the changes just keep coming. In today’s update, we take a look at the new adjustm...
Jan 4, 2017
The DWC, the Physician Fee Schedule, and Align Networks
The start of the new year is always a hectic time in the world of California workers’ compensation. Often prior to January 1st, California’s Division of Workers’ Compensation...
Dec 22, 2016
92% of DMEPOS Reimbursements to Change in 2017
2017 is almost upon us, and the Division of Workers’ Compensation (DWC) is ringing in the new year with an adjustment to the Official Medical Fee Schedule (OMFS). The new ord...
Dec 16, 2016
Four Year Flubs: Some Claims Administrators Still Reject Electronic Billing
Let’s start with some old news: Since October 2012, California claims administrators must accept electronic billing for workers’ compensation bills. Fast-forward four years, ...
Dec 13, 2016
Audit Complaints: Making Things Right in Workers’ Comp
California claims administrators have certain responsibilities when it comes to processing bills. They must issue timely and complete Explanations of Review (EORs) and paymen...