CA OMFS: DMEPOS Fee Schedule Update Effective 10/1/2019
Oct 10, 2019
In Newsline No.: 2019-75, the California Division of Workers’ Compensation (DWC) announced updates to the Official Medical Fee Schedule for Durable Medical Equipment, Prosthe...
CA OMFS: Pathology/Clinical Lab Fee Schedule Update Effective 10/1/2019
Oct 8, 2019
On October 4, 2019, California’s Division of Workers’ Compensation (DWC) ordered an update to the Pathology and Clinical Laboratory section of the Official Medical Fee Schedu...
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...