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California Workers' Comp
Apr 29, 2014
2 min read
0
Sedgwick Denying Bills with Incorrect Adjustment Reason Codes
Claims Administrator: Sedgwick Claims Management ServicesIssue: Inaccurate Adjustment Reason Codes contained in Sedgwick’s EOR denialsStatus
Apr 28, 2014
1 min read
0
How Electronic Billing Works, Part II
Last time, we covered: What happens after providers hit "send" when transmitting electronic bills Why electronic bills get denied This time we discuss wh...
Apr 28, 2014
1 min read
0
Liberty Mutual Incorrectly Denying Bills Using Explain Code B649
Claims Administrator: Liberty MutualIssue: Incorrect denial of billsStatus: OpenDescription: Recently, claims administrato...
Apr 28, 2014
1 min read
0
Changes to OMFS: Pharmaceutical, DMEPOS, and Physician Fee Schedule
The DWC passed major changes to the workers’ compensation fee schedules, affecting reimbursements for pharmaceutical NDC numbers, DMEPOS, and splinting and casting Q codes. ...
Apr 25, 2014
2 min read
0
More Workers' Comp Fee Schedule Changes
The DWC passed changes to the workers’ comp fee schedules, affecting:Pathology and clinical laboratory feesRelative Value FileCCI EditsMedi-Cal Ph...
Apr 24, 2014
2 min read
0
How Electronic Billing Works, Part I
If you’ve ever sent an email, you already have a general understanding of how workers’ compensation electronic billing works. So we’re going to use what you already know abo...
Apr 23, 2014
1 min read
0
New CMS 1500 Form
Starting April 1, 2014, providers in California must use a new CMS 1500 form when submitting bills for treatment provided to injured workers. The transition period has come ...
Apr 22, 2014
1 min read
0
Electronic Billing Timelines
One of the greatest benefits of electronic billing for workers compensation is how much it speeds up the whole process. In addition, work comp e-billing helps with making sur...
Apr 19, 2014
1 min read
0
Electronic Billing in a Nutshell
THE LAWThe electronic billing mandate is a statute that's in the Labor Code, as Title 8 of CCR: Sections 9792.5.1(b), 9792.5.2(c) and 9792.5.3(b).In effect sinc...
Apr 16, 2014
1 min read
0
The Benefits of Acknowledgement Protocols
For workers' comp medical e-bills, acknowledgement protocols are designed to catch the following billing errors before review by a claims administrator: e-Bills submit...
Apr 15, 2014
1 min read
0
Electronic Billing Compliance for Claims Administrators
In California, electronic billing has been mandated for workers compensation medical bills since October 18th, 2012. For claims administrators, this means that you mu...
Feb 26, 2014
1 min read
0
California Specific Work Comp Codes
As providers still billing on paper begin to receive payments for their January 2014 dates of service, we’re receiving inquiries about the California specific codes that beca...
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