News Updates

SCIF Denying Evaluation and Management Codes
Mar 8, 2017
SCIF Denying Evaluation and Management Codes
State Compensation Insurance Fund (SCIF) recently unveiled a “new program” with regard to reimbursement for billed Evaluation and Management (E/M) Codes. Per a conversation w...
Telehealth Medicare Restrictions Not Adopted by DWC
Mar 7, 2017
Telehealth Medicare Restrictions Not Adopted by DWC
Several weeks ago, we covered the emerging field of telehealth and its powerful ability to alter the California workers’ comp landscape. Reimbursement for these telehealth se...
New DWC Lien Rules Effective March 26, 2017
Mar 3, 2017
New DWC Lien Rules Effective March 26, 2017
Since the passage of Senate Bill 1160 last fall, questions have swirled around the landmark piece of legislation’s new lien declaration requirements. This week, the Workers’ ...
2017 Work Comp Reimbursement Cheat Sheet
Mar 1, 2017
2017 Work Comp Reimbursement Cheat Sheet
This post includes payment information for 2017 dates of service only. For reimbursement changes effective January 1, 2018 see ourUltimate 2018 Work Comp Reimbursement...
5 Things You Need to Know About the March OMFS Changes
Feb 28, 2017
5 Things You Need to Know About the March OMFS Changes
Tomorrow’s the day. The new Physician and Non-Physician Fee Schedule – announced by the California Division of Workers’ Compensation in January – finally rolls into effect fo...
2017 California-Specific Code Reimbursements Updated
Feb 23, 2017
2017 California-Specific Code Reimbursements Updated
Earlier this month, we reported on the upcoming changes to the Physician and Non-Physician Services section of the Official Medical Fee Schedule (OMFS). California’s Division...
New Fee Schedule Adds Place of Service Code for Telemedicine
Feb 9, 2017
New Fee Schedule Adds Place of Service Code for Telemedicine
This week, we provided an overview of the upcoming changes to the Physician and Non-Physician section of the Official Medical Fee Schedule (OMFS). Today, we turn our attentio...
Non-Face-To-Face Service Reimbursable 2017 (CPT 99358, 99359)
Feb 8, 2017
Non-Face-To-Face Service Reimbursable 2017 (CPT 99358, 99359)
Changes have been made to the California OMFS since the publication of this article. Be sure to see the latest analyses here and here.2021 OMFS updates drastically cha...
DWC Adopts Changes to Physician Fee Schedule, Effective March 1
Feb 7, 2017
DWC Adopts Changes to Physician Fee Schedule, Effective March 1
Late last month, the California Division of Workers’ Compensation (DWC) posted an order announcing their upcoming adjustment to the Physician and Non-Physician section of the...
DWC Changes 95% of Path/Lab Reimbursements
Jan 5, 2017
DWC Changes 95% of Path/Lab Reimbursements
It’s the most wonderful time of the year to be a California workers’ compensation blogger – the changes just keep coming. In today’s update, we take a look at the new adjustm...
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Jan 4, 2017
The DWC, the Physician Fee Schedule, and Align Networks
The start of the new year is always a hectic time in the world of California workers’ compensation. Often prior to January 1st, California’s Division of Workers’ Compensation...
92% of DMEPOS Reimbursements to Change in 2017
Dec 22, 2016
92% of DMEPOS Reimbursements to Change in 2017
2017 is almost upon us, and the Division of Workers’ Compensation (DWC) is ringing in the new year with an adjustment to the Official Medical Fee Schedule (OMFS). The new ord...