Blog: DaisyNews

Workers' Comp News, Data, and Insights

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CPTs 99358 & 99359 - 2020 CA Reimbursement Cheat Sheet

Feb 5, 2020

More good news! In 2020 California workers’ comp reimbursements increased for CPT Codes 99358 and 99359.Below, we’ve compiled a handy reimbursement cheat sheet ...

CPT 99358 - Maximus Correctly Rules in Favor of Provider (Hurray!)

Nov 18, 2019

In the past, DaisyBill has reported on many, many problems with Maximus Independent Bill Review (IBR) decisions for CPT code 99358. Today, we happily report that Maximus is n...

IBR Appeal Analysis for CPTs 99358 & 99359

Feb 19, 2019

Reimbursements for CPTs 99358 & 99359 are tricky because payers frequently deny reimbursement for services that are not face-to-face with patients. Previously, we presented t...

Maximus Blunders AGAIN with 99358 Decision and a Math Error

Sep 20, 2018

Maximus Federal Services, the entity responsible for conducting Independent Bill Review (IBR) on behalf of California’s Division of Workers’ Compensation (DWC), has once agai...

Time and Billable Units for CPT Codes 99358 and 99359

Sep 19, 2018

Since an update to California’s Official Medical Fee Schedule (OMFS) made non-face-to-face services reimbursable again in 2017, there’s been confusion aplenty about how to pr...

Maximus Gets It Wrong in 99358 IBR Decision

Aug 31, 2017

Maximus Federal Services, the arbiter of Independent Bill Review (IBR) for the California Division of Workers’ Compensation (DWC), has denied payment to a provider due to an ...

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