News Updates
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...
Nov 22, 2016
Claims Administrator Days to Payment Q1 – Q3
So you’ve filled out all the required fields in daisyBill and clicked ‘submit’ on your bill. End of story? Not a chance. For us, that’s just the beginning.From ...
Nov 18, 2016
Network News: Introducing Our Searchable MPN Spreadsheet
Medical Provider Networks (MPNs) are a pain. We've had a lot of questions about these organizations, and for good reason – they're notoriously tricky to understand, and avail...
Nov 15, 2016
Lien Machine: Mastering the New Lien Declaration in Senate Bill 1160
The ink has dried and the dust is settling – the workers’ comp reforms in Senate Bill 1160 are here to stay. Chances are you’ve heard about these changes by now. SB 11...
Nov 1, 2016
Timely Billing Coming to California
When Senator Tony Mendoza’s California Senate Bill 1175 passed over Governor Brown’s desk this August, one word stood out: Timely, timely, timely.Signed into law on Au...
Oct 25, 2016
The Workers' Comp Fraud Problem
It’s a topic we all wish we didn’t have to talk about. Yet it’s been commanding more and more headlines – California’s workers’ comp system has a fraud problem. And th...
Jul 28, 2014
Major Reimbursement Changes to Pharmaceuticals Fee Schedule
Effective July 16, 2014, the DWC updated the dispensed pharmaceuticals fee schedule, removing over 21,000 distinct NDC numbers. In fact, the DWC removed over 170,000 total en...
Apr 28, 2014
Changes to OMFS: Pharmaceutical, DMEPOS, and Physician Fee Schedule
The DWC passed major changes to the workers’ compensation fee schedules, affecting reimbursements for pharmaceutical NDC numbers, DMEPOS, and splinting and casting Q codes. ...
Apr 25, 2014
More Workers' Comp Fee Schedule Changes
The DWC passed changes to the workers’ comp fee schedules, affecting:Pathology and clinical laboratory feesRelative Value FileCCI EditsMedi-Cal Ph...
Apr 23, 2014
New CMS 1500 Form
Starting April 1, 2014, providers in California must use a new CMS 1500 form when submitting bills for treatment provided to injured workers. The transition period has come ...