California Workers' Comp

SB 1160 Reforms Will Shake Up CA Workers' Comp (Again)

Once again, California’s workers’ comp system is headed for major reforms, this time by way of SB 1160, which the CA Senate passed on August 31. The most significant features...

Fee Alert: Quarter Four DWC Fee Schedule Updates

The Division of Workers’ Compensation (DWC) posted the following adjustments to the Official Medical Fee Schedule (OMFS) for services rendered on or after October 1, 2016, in...

Numbers Don't Lie: Second Reviews Work

Still not convinced that Second Reviews work? We’ll let the numbers speak for themselves:

Workers’ Comp Claims Administrators: Average Days to Payment, 1/1/2016 to 3/31/2016

In the first quarter of 2016, daisyBill processed over 230,000 bills. In this blog we examine payment speeds for our top 20 claims administrators based on volume.

Fee Alert: Another DWC Update -- DMEPOS Fee Schedule

On July 1, 2016, the Division of Workers’ Compensation (DWC) adjusted the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) section of the Official Med...

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...

🔎 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 ...

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...

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...

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...

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...

DWC Cracking Down on Late Responses to Requests for Authorization

On February 10th, 2016, the DWC issued DIR Newsline 2016-19 reminding claims administrators that adhering to Utilization Review (UR) timelines is mandatory and that failure t...