Blog: DaisyNews

Workers' Comp News, Data, and Insights

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Co-Surgery vs. Team Surgery: All You Need to Know

Feb 26, 2019

Surgery in workers’ compensation cases opens a Pandora’s box: reserves go up, nurse case managers get involved, and surgeons need to justify every detail of their billing to ...

2019 Splinting & Casting Reimbursement Update

Feb 6, 2019

When navigating the seas of change, it’s refreshing to find an island of relative stability. Like California’s state-specific codes, the splinting and casting codes group (co...

California-Specific Codes Updated for 2019

Feb 4, 2019

With the flurry of new year fee schedule changes, California updated the Physician Fee Schedule reimbursement for its state-specific codes. These codes are explained in 8 CCR...

Sedgwick Still Reimbursing at 2018 Rates for California

Feb 1, 2019

Since the beginning of 2019, Sedgwick CMS has incorrectly used the 2018 Physician Fee Schedule to reimburse providers. Our data indicates that Sedgwick is consistently and in...

2019 CA Workers’ Comp Evaluation & Management Cheat Sheet

Feb 1, 2019

The 2019 changes to California’s reimbursements got your head spinning? Here’s a handy reimbursement cheat sheet for the most frequently used Evaluation & Management codes.

CA OMFS Inpatient Hospital Fee Schedule Update

Nov 29, 2018

California’s Division of Workers’ Compensation (DWC) posted an adjustment to the Inpatient Hospital section of the Official Medical Fee Schedule (OMFS), effective for dischar...

The 5 Point Checklist for CPT Codes 99358 and 99359

Nov 18, 2018

The 2017 Physician Fee Schedule, officially adopted by the California Division of Workers’ Compensation (DWC) for dates of service on or after March 1, included a number of c...

It's Official: GPCI Reimbursement Adjustments Coming to CA Workers' Comp

Oct 5, 2018

California’s Division of Workers’ Compensation (DWC) has pulled the trigger: Geographic Practice Cost Indices (GPCI) will take effect on January 1, 2019. GPCI will divide the...

CA OMFS Update: Outpatient/ASC Changes Effective October 1

Oct 4, 2018

California’s Division of Workers’ Compensation (DWC) ordered updates to the Hospital Outpatient and Ambulatory Surgical Center (ASC) portion of the Official Medical Fee Sched...

CA DWC Proposes Pharma Fee Schedule Changes, Seeks Public Comment

Oct 3, 2018

California’s Division of Workers’ Compensation (DWC) proposed significant changes to the Pharmaceutical Fee Schedule. The proposals would bring pharmaceutical reimbursement c...

CA OMFS: New Billing Codes for Physician Fee Schedule

Sep 27, 2018

California’s Division of Workers’ Compensation (DWC) ordered updates to the Physician and Non-Physician Practitioner portion of Official Medical Fee Schedule (OMFS), effectiv...

Time and Billable Units for CPT Codes 99358 and 99359

Sep 19, 2018

Since an update to California’s Official Medical Fee Schedule (OMFS) made non-face-to-face services reimbursable again in 2017, there’s been confusion aplenty about how to pr...

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