dwc

Tristar Risk Management: 21,719 Audit Complaints Filed
Nov 1, 2024
Tristar Risk Management: 21,719 Audit Complaints Filed
It’s a dubious distinction, but Tristar Risk Management’s non-compliance rate is practically 100%. We have encountered consistent failures to abide by California worke...
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...
ALERT: Malpractice Insurance & Telehealth Coverage
Apr 3, 2020
ALERT: Malpractice Insurance & Telehealth Coverage
In our most recent webinar, California Workers’ Comp Telehealth Made Easy, we reviewed the Medicare and California Division of Workers’ Compensation (DWC) rules for providing...
CA DWC Seeks Public Comment on MTUS Updates
Jul 16, 2018
CA DWC Seeks Public Comment on MTUS Updates
California’s Division of Workers’ Compensation seeks to update the state’s Medical Treatment Utilization Schedule (MTUS). The DWC wants to align the MTUS with recent and not-...
No Response? How to Deal with Ignored Bills
May 17, 2018
No Response? How to Deal with Ignored Bills
It happens far too often: providers treat an injured worker for a California employer, send the bill to the claims administrator, and then...nothing. Workers’ comp is ...
Medical-Legal Complexity Factors: Provider Requirements
May 9, 2018
Medical-Legal Complexity Factors: Provider Requirements
Recently, a DaisyBill client faced unreasonable demands from a bill review regarding complexity factors for medical-legal billing code ML104. Fortunately, our client’s refusa...
Medical-Legal: When to Bill For Report Preparation
May 8, 2018
Medical-Legal: When to Bill For Report Preparation
Medical-legal billing is a special kind of tricky. This unique subset of California workers’ comp has its own rules, its own fee schedule, and its own unique complicat...
Medical-Legal Fee Schedule: DWC Proposes New Amendments
May 4, 2018
Medical-Legal Fee Schedule: DWC Proposes New Amendments
The California Division of Workers’ Compensation (DWC) announced proposed amendments to the Medical-Legal Fee Schedule yesterday, May 3. The amendments would make sign...
DWC Orders Changes to OMFS Pathology/Clinical Lab Fees
May 3, 2018
DWC Orders Changes to OMFS Pathology/Clinical Lab Fees
The DWC posted an update order bringing the Pathology and Clinical Laboratory section of the Official Medical Fee Schedule (OMFS) into line with Medicare.The order rem...
Outpatient/ASC Fee Schedule: DWC Issues (Then Corrects) Reimbursements
Mar 15, 2018
Outpatient/ASC Fee Schedule: DWC Issues (Then Corrects) Reimbursements
The California Division of Workers’ Compensation (DWC) ordered new adjustments to the Official Medical Fee Schedule (OMFS), effective March 15, 2018. The orders update fees f...
Work Comp: How to Bill for P&S Reports (Do Not Use ML102!)
Jan 30, 2018
Work Comp: How to Bill for P&S Reports (Do Not Use ML102!)
Some providers mistakenly believe that Permanent and Stationary (P&S) reports are billable with medical-legal billing code ML102 for Basic Comprehensive Medical-Legal Evaluat...
DWC Reconsiders Lien Declarations Filed July 2-3
Oct 4, 2017
DWC Reconsiders Lien Declarations Filed July 2-3
When the California Division of Workers’ Compensation (DWC) mandated that lien claimants must file declarations asserting the validity of their liens, they weren’t kidding ar...