Blog: DaisyBill News

News, data, & insights about workers' comp billing


CA OMFS: DMEPOS Fee Schedule Update Effective 7/1/ 2019

Jul 10, 2019

In Newsline No.: 2019-53, the California Division of Workers’ Compensation (DWC) announced updates to the Official Medical Fee Schedule for Durable Medical Equipment, Prosthe...

CA OMFS Update: Pathology/Clinical Lab Fee Schedule for 7/1/2019

Jul 9, 2019

On July 8, 2019, California’s Division of Workers’ Compensation (DWC) ordered an update to the Pathology and Clinical Laboratory section of the Official Medical Fee Schedule ...

CA Physician MUE Reimbursement Change as of 7/1/2019

Jun 25, 2019

In Newsline No.: 2019-46, the California Division of Workers’ Comp (DWC) announced changes to the Official Medical Fee Schedule for Physician Services / Non-Physician Practit...

Let's Make This Clear: Workers' Comp Is Not Medicare

May 29, 2019

A recent post by Joe Paduda perpetuates the common but incorrect practice of analogizing workers’ comp to Medicare. In his discussion, Paduda notes that Medicare pays much le...

Alert: More Unreasonable Physician Reporting Demands

May 17, 2019

When it comes to billing complications, some California payers are demanding documentation for time-based procedure codes; a demand that is unsubstantiated by California work...

8 Minute How-To: Multiple Procedure Payment Reduction (MPPR)

Apr 5, 2019

This short, free, and super-useful video demystifies Multiple Procedure Payment Reductions (MPPRs) for Physician and Non-Physician Practitioner Services in California.

Assistant at Surgery: All You Need to Know

Mar 4, 2019

Last week, we opened Pandora’s box on co-surgeons and team surgery. Notably left in the box was a discussion on assistant(s) at surgery. Typically this arises when physicians...

📬 Payer Responses: Guile, Waiting, and Crickets 🏏

Mar 1, 2019

Today we report on the responses from Sedgwick, Liberty Mutual, York, and State Compensation Insurance Fund (SCIF), following our posts detailing their systematic underpaymen...

Co-Surgery vs. Team Surgery: All You Need to Know

Feb 26, 2019

Surgery in workers’ compensation cases opens a Pandora’s box: reserves go up, nurse case managers get involved, and surgeons need to justify every detail of their billing to ...

The Payment Chaos Continues: Sedgwick Denies Appeal for Correct 2019 Reimbursements

Feb 8, 2019

Sedgwick’s payment mistakes multiply. First, Sedgwick incorrectly paid California providers by applying an old workers’ comp fee schedule. Now Sedgwick compounds its error by...

2019 Splinting & Casting Reimbursement Update

Feb 6, 2019

When navigating the seas of change, it’s refreshing to find an island of relative stability. Like California’s state-specific codes, the splinting and casting codes group (co...

California-Specific Codes Updated for 2019

Feb 4, 2019

With the flurry of new year fee schedule changes, California updated the Physician Fee Schedule reimbursement for its state-specific codes. These codes are explained in 8 CCR...

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