Alert: DWC Retroactively Updates CA OMFS
Feb 3, 2020
Last Thursday, January 30, 2020, the California Division of Workers’ Comp (DWC) released a retroactive change to the 2020 Physician Fee Schedule. Announced in Newsline #2020-...
Convoluted Coding: Applied Underwriters Tries to Shortchange Provider
Nov 4, 2019
For anyone concerned by the lack of providers willing to treat injured workers, the following dark tale perfectly illustrates the reason so many providers flee workers’ comp....
CA OMFS: Physician Services Fee Schedule Update Effective 10/1/2019
Oct 15, 2019
A new order from the Administrative Director of California’s Division of Workers’ Compensation (DWC) updates the Physician and Non-Physician Practitioner Services portion of ...
CA OMFS: DMEPOS Fee Schedule Update Effective 10/1/2019
Oct 10, 2019
In Newsline No.: 2019-75, the California Division of Workers’ Compensation (DWC) announced updates to the Official Medical Fee Schedule for Durable Medical Equipment, Prosthe...
CA OMFS Update: Pathology/Clinical Lab Fee Schedule for 7/1/2019
Jul 9, 2019
On July 8, 2019, California’s Division of Workers’ Compensation (DWC) ordered an update to the Pathology and Clinical Laboratory section of the Official Medical Fee Schedule ...
CA Physician MUE Reimbursement Change as of 7/1/2019
Jun 25, 2019
In Newsline No.: 2019-46, the California Division of Workers’ Comp (DWC) announced changes to the Official Medical Fee Schedule for Physician Services / Non-Physician Practit...
CA Physician Reimbursements INCREASE as of 7/1/2019
Jun 19, 2019
In Newsline No.: 2019-46, the California Division of Workers’ Comp (DWC) announced changes to the Official Medical Fee Schedule for Physician Services / Non-Physician ...
Alert: More Unreasonable Physician Reporting Demands
May 17, 2019
When it comes to billing complications, some California payers are demanding documentation for time-based procedure codes; a demand that is unsubstantiated by California work...
SB 537: Say NO to Medicare Reimbursements
May 2, 2019
A proposed California bill, though seemingly benign, may establish Medicare rates as a standard for workers’ comp reimbursements, which would be a mistake. The bill, w...
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SCIF to Correct Payment Errors
Mar 28, 2019
California’s State Compensation Insurance Fund (SCIF) stepped up and promised to fix all bills affected by its mistaken use of the 2018 Official Medical Fee Schedule. ...
Assistant at Surgery: All You Need to Know
Mar 4, 2019
Last week, we opened Pandora’s box on co-surgeons and team surgery. Notably left in the box was a discussion on assistant(s) at surgery. Typically this arises when physicians...
📬 Payer Responses: Guile, Waiting, and Crickets 🏏
Mar 1, 2019
Today we report on the responses from Sedgwick, Liberty Mutual, York, and State Compensation Insurance Fund (SCIF), following our posts detailing their systematic underpaymen...