OMFS
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May 8, 2025
Helmsman Botches NBC Injury Claim—Underpays Doctor, Demands Refund Anyway (Part 2)
As daisyNews reported yesterday, Helmsman Management Services, LLC attempted to claw back payment from a California provider for plainly bogus reasons. We debunked those reas...
May 2, 2025
Diabolical Discounts: Disney & MultiPlan Take 56% Off Provider's Bill
Across the nation, providers struggle to treat injured workers without financially damaging their practices. The problem is especially ugly in California, where extreme reimb...
Apr 29, 2025
What Employers Choose When They Choose Sedgwick
When California employers select Sedgwick Claims Management Services, Inc. to manage their workers’ compensation claims, they choose a Third-Party Administrator (TPA) ...
Apr 24, 2025
Sedgwick Pays WRONG Fee Schedule Amount (Again, per Annual Tradition)
Another fee schedule update, another Sedgwick screw-up. Like clockwork, Sedgwick Claims Management Services, Inc. ignores California's fee schedule updates, shortchang...
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Apr 9, 2025
Enlyte’s MPI: A Smokescreen to Protect Private Equity Profits
Last week, Enlyte—the parent company of Coventry, Mitchell, and Genex, all backed by private equity firm Stone Point Capital—released its latest report on its “Medical Price ...
Apr 8, 2025
CA OMFS Update: Physician Services (Q2 2025)
California’s Division of Workers’ Compensation (CA DWC) issued a second-quarter update to the Physician and Non-Physician Practitioner portion of the Official Medical Fee Sch...
Mar 24, 2025
CA Physical Therapist Pushes Back: Providers Not the “Bad Guys”
Recently, daisyNews pushed back against Managed Care Matters’ (absurd) accusation that providers will respond to Republican healthcare cuts by “jacking up” the prices of inju...
Feb 12, 2025
CA OMFS: Additional 2025 Pathology, Clinical Lab Fee Schedule Update
The California Division of Workers’ Compensation (CA DWC) issued an additional update to the Pathology and Clinical Laboratory portion of the Official Medical Fee Schedule (O...
Feb 6, 2025
CA: New Telehealth Billing Requirements for 2025
As part of the updates to the Physician and Non-Physician Practitioner portion of California’s Official Medical Fee Schedule (OMFS) for workers’ comp, the state’s Division of...
Jan 31, 2025
CA: 2025 Physician Fee Schedule Increases Tomorrow!
California providers and staff, here’s an urgent Friday Task: Prepare for increased reimbursements for workers’ compensation physician services.Effective for dates of ...
Jan 23, 2025
2025 CA Physician Fee Schedule Changes
California’s Division of Workers’ Compensation (CA DWC) issued an update to the Physician and Non-Physician Practitioner portion of the Official Medical Fee Schedule (OMFS) f...
Jan 22, 2025
CA OMFS: 2025 'WC' Report Billing Codes
California’s Division of Workers’ Compensation (CA DWC) recently announced updates to the Physician and Non-Physician Practitioner Services section of the Official Medical Fe...