OMFS
Jul 10, 2023
CA OMFS Update: Physician Services (Q3 2023)
California’s Division of Workers’ Compensation (DWC) issued an update to the Physician and Non-Physician Practitioner portion of the Official Medical Fee Schedule (OMFS) for ...
Jun 20, 2023
Medical Director: CA Workers' Comp "Subsidizes Corruption"
Recently, the Medical Director of a large medical group sent an email to daisyBill, explaining their decision to "opt out" of treating injured workers in California. T...
May 30, 2023
Doctor Calls MPN Bluff, Gets 100% OMFS
Recently, a daisyCollect client demonstrated how California providers can shake up — and potentially shake off — the bloated, crippling, and largely illusory Medical Provider...
May 18, 2023
CA Makes Treating Injured Workers Unsustainable
Why are doctors unwilling to treat injured workers?In California, injured workers often struggle to find doctors willing to provide treatment. The main reason for this...
May 17, 2023
SCIF vs Gallagher Bassett: E&M Reimbursement
When evaluated on key metrics such as denial of payments and reimbursement amounts, some claims administrators embody the major issues plaguing the California workers' compen...
Mar 24, 2023
CA OMFS Update: Physician Services (Q2 2023)
California’s Division of Workers’ Compensation (DWC) issued an update to the Physician and Non-Physician Practitioner portion of the Official Medical Fee Schedule (OMFS) for ...
Feb 22, 2023
CPT 99358 & 99359: Payable in 2023
California workers’ comp billing is complicated — but that’s what daisyBill is here for.Effective February 15, 2023, an update to the Official Medical Fee Schedule (OM...
Feb 21, 2023
CPT 99358 & 99359: Error Corrected
With apologies for any confusion, we offer the following correction.Our February 13 2023 article, clarifying that billing codes CPT 99358 and CPT 99359 remain payable ...
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Feb 14, 2023
2023 CA Physician Fee Schedule Changes
California’s Division of Workers’ Compensation (DWC) issued an update to the Physician and Non-Physician Practitioner portion of the Official Medical Fee Schedule (OMFS) for ...
Feb 9, 2023
E/M Data: CPT 99214 Reimbursement 2022
Far too often, California providers are not receiving Official Medical Fee Schedule (OMFS) rates for Evaluation and Management (E/M) for injured workers — as evidenced by our...
Feb 8, 2023
Data: SCIF Pays Medicare Rates for E/M Services
Like The Zenith, California’s State Compensation Insurance Fund (SCIF) consistently pays Medicare rates to doctors for treating injured workers.According to data from ...
Feb 7, 2023
Data: Zenith Pays Medicare Rates for E/M Services
According to data from over 10,000 e-bills submitted for 2022 dates of service via daisyBill, insurer The Zenith paid 76% of the reimbursement rates established by California...