COVID-19
2022 Telehealth: 10 Important Billing Rules for CA Workers' Comp
Jan 5, 2022
2022 Telehealth: 10 Important Billing Rules for CA Workers' Comp
As the COVID-19 pandemic drags on, telehealth remains a viable alternative to in-person treatment for California workers’ comp providers. Below are the most important ...
MLFS Billing Tip: CA Med-Legal Deadlines Extended
Sep 23, 2021
MLFS Billing Tip: CA Med-Legal Deadlines Extended
As providers continue to grapple with COVID-19’s impact on healthcare systems, California Medical-Legal examiners (and workers’ comp claims administrators) are reminded: the ...
2021 Telehealth Billing Guide for CA Workers' Comp
Aug 9, 2021
2021 Telehealth Billing Guide for CA Workers' Comp
With COVID-19 hardly in the rearview mirror just yet, California workers’ comp providers can still utilize telehealth as a safer alternative to in-person treatment. But of co...
Sedgwick Defies DWC COVID Rules; DWC Washes Hands
Jun 4, 2021
Sedgwick Defies DWC COVID Rules; DWC Washes Hands
Sedgwick defied California workers’ comp regulations, costing a provider thousands in due reimbursement. Unfortunately, the Division of Workers’ Compensation (DWC) has declin...
Zurich Delays Telehealth Reimbursement During Pandemic
Mar 26, 2021
Zurich Delays Telehealth Reimbursement During Pandemic
Zurich seems committed to a policy of improperly denying reimbursement for telehealth services, during a pandemic in which remote treatment is crucial to maintaining care for...
CPT 99072 for Extra Time and Supplies for COVID-19 -- Not Payable (Yet?) for Work Comp
Oct 28, 2020
CPT 99072 for Extra Time and Supplies for COVID-19 -- Not Payable (Yet?) for Work Comp
Medical practices, including practices that treat injured or sick workers, have implemented numerous changes to safely treat patients in person during the COVID-19 pandemic. ...
California Retroactively Changes Telehealth Reimbursement - Part 1
May 14, 2020
California Retroactively Changes Telehealth Reimbursement - Part 1
On 5/7/2020 the California Division of Workers’ Comp (DWC) Administrative Director, George P. Parisotto, issued a new Order with retroactive changes to the reimbursement calc...
Medicare Releases REVISED Telehealth Rules - Part 2
May 6, 2020
Medicare Releases REVISED Telehealth Rules - Part 2
This is part two of our series analyzing telehealth reimbursement rule changes that were announced last week by the Centers for Medicare & Medicaid Services (aka “CMS'' or “M...
Medicare Releases REVISED Telehealth Rules - Part 1
May 5, 2020
Medicare Releases REVISED Telehealth Rules - Part 1
Last week the Centers for Medicare & Medicaid Services (aka “CMS” or “Medicare”) significantly changed its telehealth reimbursement rules to adjust to the demands of the COVI...
OMFS: DWC Orders Further Pathology/Clinical Lab Adjustments
Apr 29, 2020
OMFS: DWC Orders Further Pathology/Clinical Lab Adjustments
California’s Division of Workers Compensation (DWC) ordered further adjustments to the Pathology and Clinical Laboratory Section of the state’s Official Medical Fee Schedule ...
How E-Billing Helps Workers' Comp Providers Navigate COVID-19
Apr 16, 2020
How E-Billing Helps Workers' Comp Providers Navigate COVID-19
There was a time when electronic billing was the future of workers’ comp revenue management. COVID-19 accelerated that transition, making e-billing an immediate necessity.
Ease Authorization Requirements for Workers' Comp During COVID-19
Apr 9, 2020
Ease Authorization Requirements for Workers' Comp During COVID-19
For California providers, obtaining authorization for workers’ compensation treatment requires substantial administrative resources. As COVID-19 strains those resources, prio...