OMFS
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...
Feb 6, 2023
Anthem PPO Contract Renders OMFS Meaningless
At first glance, recent updates to California’s Official Medical Fee Schedule (OMFS) for workers’ comp may seem like a raise for doctors. By establishing OMFS rates at roughl...
Jan 31, 2023
CA Physician Fee Schedule - 2023 Changes
Yesterday, California’s Division of Workers’ Compensation (DWC) announced reimbursement updates to the Physician and Non-Physician Practitioner Services section...
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Jan 5, 2023
DMEPOS Update Q1 2023
California’s Division of Workers’ Compensation (DWC) updated the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) portion of the Official Medical Fee ...
Jan 5, 2023
CA Physician Fee Schedule: No 2023 Changes (Yet)
Despite controversial cuts to reimbursement rates for Medicare, California’s Division of Workers’ Compensation (DWC) has not announced changes to reimbursement ...