medical-legal

CA DWC: 2021 Fee Schedule Updates as of 1/5/2021
Jan 5, 2021
CA DWC: 2021 Fee Schedule Updates as of 1/5/2021
California workers’ comp fee schedules change on a regular basis, though not always on a precise schedule. This article sums up the late 2020 and early 2021 updates thus far ...
Zoom Privacy, Security Issues May Affect Telehealth
Apr 8, 2020
Zoom Privacy, Security Issues May Affect Telehealth
Health care providers using (or considering) teleconferencing software Zoom, heed this important warning: serious security, privacy, and data protection issues reportedly pla...
DWC Will Hold Meeting on Controversial Medical-Legal Rule Proposals
Sep 26, 2018
DWC Will Hold Meeting on Controversial Medical-Legal Rule Proposals
In May of this year, California’s Division of Workers’ Compensation (DWC) announced proposed changes to the state Medical-Legal Fee Schedule (MLFS), and welcomed public comme...
Med-Legal Misconceptions: 4 Ways NOT to Use Billing Code ML106
Sep 21, 2018
Med-Legal Misconceptions: 4 Ways NOT to Use Billing Code ML106
In California, physicians use code ML106 to bill for supplemental medical-legal examinations. However, what constitutes a supplemental medical-legal exam for billing purposes...
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...
2018 Workers’ Comp Reimbursement Cheat Sheet
Feb 2, 2018
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...
Medical-Legal Cheat Sheet: Reimbursements
Jan 24, 2018
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 ...
Med-Legal Billing: How to Obtain Reimbursement for Diagnostic Tests
Jan 3, 2018
Med-Legal Billing: How to Obtain Reimbursement for Diagnostic Tests
The conditions under which claims administrators must pay medical-legal doctors for diagnostic tests are specific and narrow. To ensure reimbursement, it’s important to know ...
Medical-Legal Billing Lacks Necessary Rules
Dec 8, 2017
Medical-Legal Billing Lacks Necessary Rules
When it comes to medical-legal billing, the workers’ comp field is missing something. For medical-legal bills, no rules govern the billing form used or the method used...