medical-legal

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

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

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

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

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

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

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

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

*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

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

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

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...