OMFS
Feb 15, 2018
How to Bill for Physician-Dispensed Pharmaceuticals
Payments for physician-dispensed drugs are some of the most misunderstood — and incorrectly denied — in workers’ compensation billing. Too often, the employer or insurer’s cl...
Feb 13, 2018
Providers: Don't Accept 2017 OMFS Rates for 2018 Dates of Service
Lately, we’ve noticed a problem. Some claims administrators are reimbursing providers incorrectly. Instead of paying the higher 2018 Official Medical Fee Schedule (OMFS), cla...
Dec 23, 2017
2018 Radiology Reimbursements (Professional Services): Cheat Sheet
Lately, we brought readers the Division of Workers’ Compensation (DWC)’s recent updates to the Physician fee schedule for evaluation & management and surgery. Today, we take ...
Dec 20, 2017
2018 Surgery Reimbursements: Cheat Sheet
2018 is around the corner, and the Division of Workers’ Compensation (DWC) recently posted updates to the Official Medical Fee Schedule (OMFS), effective January 1. La...
Dec 15, 2017
2018 E/M and Other Services Cheat Sheet
*Update: The 2021 OMFS updates drastically changed how E/M codes are billed.*It’s that time of year: the DWC recently announced changes to the reimbursem...
Nov 21, 2017
Why Work Comp Providers Need Specialized RCM
Workers’ compensation is different.It’s a labyrinth of legal and procedural twists, turns, and obstacles that don’t plague providers in other areas of medicine. When i...
Nov 17, 2017
Overpaid? Don't Rush to Return Payment to Claims Admin
Mistakes regarding the complex new Status Indicators have left some claims administrators scrambling to recover erroneous payments — even to the point of threatening provider...
Oct 13, 2017
Are You Billing for Missed Work Comp Appointments?
You should be. A provider’s time may be their most valuable resource. The complexity of workers’ comp billing drains an absurd amount of that time, decreasing the retu...
Sep 20, 2017
OMFS Update Alert
The California Division of Workers’ Compensation (DWC) ordered new adjustments to the Official Medical Fee Schedule (OMFS), effective for services rendered on or after Octobe...
Aug 18, 2017
Discount Dangers, Part I: The Silent PPO
Discount Dangers is a DaisyBill series on the various ways discount contracts cheat workers’ comp providers out of reimbursement. With this series, we shine a light on the wo...
Aug 2, 2017
Hospital Outpatient Prospective Payment System: C-APC Explained
Yesterday on the blog, we described how Medicare’s adoption of Addendum B for the Hospital Outpatient Departments and Ambulatory Surgical Centers (ASCs) fee schedule moves th...
Aug 1, 2017
Hospital Outpatient Prospective Payment System: J1 Status Indicator Explained
Late last year, the Division of Workers’ Comp (DWC) drastically changed the reimbursement calculations used for Hospital Outpatient Departments and Ambulatory Surgical Center...