OMFS
Oct 4, 2022
WCIRB Report Obscures CA Workers' Comp's Real Challenges
A report from the Workers’ Compensation Insurance Rating Bureau (WCIRB) of California asserts that in 2021, “overall medical payments per claim increased significantly.” Howe...
Jun 30, 2022
2022 Q3 CA OMFS Update: Physician Fee Schedule
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 30, 2022
DWC Posts 2022 Q3 DMEPOS Adjustment
California’s Division of Workers’ Compensation (DWC) updated the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) portion of the Official Medical Fee ...
May 4, 2022
Alert: Conduent Faxes Doctor Scam-ish Contract
California’s Official Medical Fee Schedule (OMFS) establishes the rates at which claims administrators must pay providers who agree to treat injured workers. But rather than ...
May 3, 2022
Conduent Scam-ish Contract Misrepresents Payer
Recently, we alerted the workers’ comp community to the efforts of Conduent, acting on behalf of Third-Party Administrator (TPA) Athens Administrators, to reduce the amount o...
Apr 10, 2022
CA OMFS Update: Outpatient/ASC
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...
Apr 10, 2022
CA OMFS Update: Pathology & Clinical Laboratory
On March 30, 2022, the California Division of Workers’ Compensation (DWC) ordered an update to the Pathology and Clinical Laboratory section of the Official Medical Fee Sched...
Mar 30, 2022
2022 CA OMFS Update: Physician Fee Schedule
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 ...
Mar 28, 2022
2022 CA OMFS Update: DMEPOS
California’s Division of Workers’ Compensation (DWC) updated the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) portion of the Official Medical Fee ...
Jan 25, 2022
Anthem, CorCare Loot MD - Paying ONLY 5-6% OMFS
As employers vocally complain that their injured employees struggle to find doctors, California legislators allow Preferred Provider Organizations (PPOs) to reap huge profits...
Jan 19, 2022
DWC Adopts New Telehealth Code List
On January 5, 2022, the Centers for Medicare and Medicaid Services (CMS) released revisions to the list of Medicare Physician Fee Schedule Telehealth Codes. In ...
Jan 7, 2022
2022 E/M Reimbursement Rates for CA Workers' Comp - Facility
California’s Division of Workers’ Compensation recently posted new reimbursement rates for Evaluation and Management (E/M) services. Below we list the new facility reimbursem...