Fee Schedule

2018 Workers’ Comp Reimbursement Cheat Sheet

*Update: The 2021 OMFS updates drastically changed how E/M codes are billed.*Here it is: your complete, downloadable go-to resource for California worker...

Bill Review: What It Is, and Why It’s Hurting Workers’ Compensation

Bill review is very profitable. Sadly, that profit comes at the expense of other stakeholders in workers’ comp. Bill review is a huge part of the workers’ comp billing...

Medical-Legal Cheat Sheet: Reimbursements

Update: for dates of service on or after April 1, 2021, refer to our 2021 Med-Legal Cheat Sheet for California workers’ comp.Billing for medical-legal services is one ...

2018 Radiology Reimbursements (Professional Services): Cheat Sheet

Lately, we brought readers the Division of Workers’ Compensation (DWC)’s recent updates to the Physician fee schedule for evaluation & management and surgery. Today, we take ...

2018 Surgery Reimbursements: Cheat Sheet

2018 is around the corner, and the Division of Workers’ Compensation (DWC) recently posted updates to the Official Medical Fee Schedule (OMFS), effective January 1. La...

2018 E/M and Other Services Cheat Sheet

*Update: The 2021 OMFS updates drastically changed how E/M codes are billed.*It’s that time of year: the DWC recently announced changes to the reimbursem...

Q3 2017 DMEPOS Fee Schedule Adopted By DWC

After keeping us waiting for a few days, the California Division of Workers’ Compensation (DWC) officially posted an order adjusting the Durable Medical Equipment, Prosthetic...

Still Waiting on Adoption of Q3 DMEPOS Fee Schedule

The California Division of Workers’ Compensation (DWC) typically posts an order every quarter adjusting the Durable Medical Equipment, Prosthetics, and Orthotics (DMEPOS) sec...

2017 Physician Fee Schedule Changes Effective July 1

Mark your calendar! The California Division of Workers’ Compensation (DWC) issued a Newsline this week announcing the next wave of changes to the Physician and Non-Physician ...

New vs Established Patients in Workers’ Comp Billing

One of the more vexing difficulties in workers’ compensation billing – and there are plenty of qualified candidates – is keeping up with the jargon. Abbreviations abound, and...

Understanding the Difference Between 99080 and WC007

Everything changed when the Division of Workers’ Compensation adopted the RBRVS-based Physician Fee schedule on January 1, 2014. We don’t say that to be dramatic – everything...

Major NCCI Changes to CPT Code 99359

*Update: The 2021 OMFS updates drastically changed how E/M codes are billed.*Among the most important adjustments to the 2017 physician fee schedule was ...