AIG: Improper (but Logical) Med-Legal Underpayment
Aug 25, 2021
AIG improperly reduced a California Medical-Legal bill by 88%, providing a dramatic example of how California law incentivizes payers to incorrectly reimburse physicians who ...
Med-Legal Diagnostic Testing Is Reimbursable
Aug 19, 2021
FAQ: Is diagnostic testing, as part of a Medical-Legal evaluation, separately reimbursable?A: Yes, as long as the testing is necessary to complete the evaluation.
How to Win Med-Legal Payment Disputes
May 17, 2021
In light of the all-new Medical-Legal Fee Schedule (MLFS) for California workers’ comp, we debuted a new tool to help providers. Our MLFS “Report Cards” analyze...
CNA Repeatedly Ignores California Law
May 12, 2021
By law, claims administrators must remit payment for Medical-Legal services within 60 days of receiving the physician’s bill. As of this writing, payment to one physician fro...
2021 CA Med-Legal Billing Codes Pocket Guide
Apr 8, 2021
California has a new Medical-Legal Fee Schedule (MLFS), effective April 1. To help medical-legal evaluators and their staff navigate these (drastic) changes, we created a dow...
2021 Medical-Legal Cheat Sheet for CA Workers' Comp
Apr 1, 2021
It’s official: California workers’ compensation has a new Medical-Legal Fee Schedule (MLFS). Substantially different from its predecessor, the updated MLFS is effectiv...
New CA Med-Legal Fee Schedule Effective April 1
Mar 31, 2021
California’s Office of Administrative Law (OAL) issued final approval of the revamped Medical-Legal Fee Schedule (MLFS) for workers’ compensation, effective for dates of serv...
CA: New Med-Legal Fee Schedule Pending
Mar 30, 2021
A reimagined Medical-Legal Fee Schedule is on the way.Following the required public hearing and comment period, California’s Division of Workers’ Compensation (DWC) fi...
IBR Hall of Shame: Employers
Mar 24, 2021
Employers Holdings set a shameful new standard of indifference with regard to promptly and correctly reimbursing providers. The insurer incorrectly denied payment, disregarde...
CA DWC: 2021 Fee Schedule Updates as of 1/5/2021
Jan 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 ...
DWC Will Hold Meeting on Controversial Medical-Legal Rule Proposals
Sep 26, 2018
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
In California, physicians use code ML106 to bill for supplemental medical-legal examinations. However, what constitutes a supplemental medical-legal exam for billing purposes...