Evaluation & Management Services
CA OMFS: E/M Reimbursement vs Medicare Reimbursement
Jun 8, 2022
CA OMFS: E/M Reimbursement vs Medicare Reimbursement
California workers’ comp allows discount networks to bleed the doctors who treat injured workers. Unfortunately for these workers and their employers, many of these financial...
2022 E/M Reimbursement Rates for CA Workers' Comp - Facility
Jan 7, 2022
2022 E/M Reimbursement Rates for CA Workers' Comp - Facility
California’s Division of Workers’ Compensation recently posted new reimbursement rates for Evaluation and Management (E/M) services. Below we list the new facility reimbursem...
2022 E/M Reimbursement for CA Workers' Comp - Non-Facility
Jan 6, 2022
2022 E/M Reimbursement for CA Workers' Comp - Non-Facility
California’s Division of Workers’ Compensation recently posted new reimbursement rates for Evaluation and Management (E/M) services. Below we list the new non-facility reimbu...
E/M: Not the PTP? How to Bill for Required Reports
Nov 3, 2021
E/M: Not the PTP? How to Bill for Required Reports
For Evaluation and Management (E/M) in California workers’ comp, Primary Treating Physicians (PTP) must submit with the bill a progress report using either the ...
Travelers, SCIF Incorrectly Apply New E/M Rules Before Effective Dates
Mar 25, 2021
Travelers, SCIF Incorrectly Apply New E/M Rules Before Effective Dates
Every year, we see claims administrators incorrectly deny reimbursement because they fail to keep up with the latest changes to the Official Medical Fee Schedule (OMFS). But ...
How to Apply HCPCS G2212 in CA Workers' Comp
Mar 15, 2021
How to Apply HCPCS G2212 in CA Workers' Comp
Important Update: The DWC adopted an MUE limiting the number of units of G2212 providers may bill. Details below!This year, California’s Division of Workers’ Compensat...
2021 Facility E/M Reimbursement Rates for CA Workers' Comp
Mar 9, 2021
2021 Facility E/M Reimbursement Rates for CA Workers' Comp
Evaluation and Management (E/M) billing is very different for California workers’ comp physicians in 2021. Among the changes to the Physician Fee Schedule are new reim...
2021 E/M Reimbursement Rates for CA Workers' Comp
Mar 8, 2021
2021 E/M Reimbursement Rates for CA Workers' Comp
As we reported previously, California’s Division of Workers’ Compensation made major changes to Evaluation and Management (E/M) billing for 2021. In addition to updati...
CA OMFS: E/M Billing - 2021 Major Changes
Mar 4, 2021
CA OMFS: E/M Billing - 2021 Major Changes
Effective March 1, updates to California’s Physician and Non-Physician Practitioner Fee Schedule significantly alter the way providers bill for Evaluation and Management (E/M...
2020 CA Workers’ Comp Evaluation & Management Cheat Sheet
Jan 13, 2020
2020 CA Workers’ Comp Evaluation & Management Cheat Sheet
Hooray! In 2020 reimbursements increased across the board for Evaluation & Management (E&M) codes!Below we’ve compiled a nifty reimbursement cheat sheet for the seven ...
2019 CA Workers’ Comp Evaluation & Management Cheat Sheet
Feb 1, 2019
2019 CA Workers’ Comp Evaluation & Management Cheat Sheet
The 2019 changes to California’s reimbursements got your head spinning? Here’s a handy reimbursement cheat sheet for the most frequently used Evaluation & Management codes.
Location-Based Adjustments (GPCIs) Now in Effect for California, as of January 1, 2019
Jan 30, 2019
Location-Based Adjustments (GPCIs) Now in Effect for California, as of January 1, 2019
For better or worse, location-based adjustments are here for California workers’ comp. Find out how they impact reimbursements in 2019. As our preliminary calculations...