OMFS
CA Physician Fee Schedule Update Adds New Billing Codes, NCCI Edits
Apr 4, 2018
CA Physician Fee Schedule Update Adds New Billing Codes, NCCI Edits
A new order from the Administrative Director of California’s Division of Workers’ Compensation (DWC) updates the Physician and Non-physician practitioner services portion of ...
Location-Based Reimbursement in CA? DWC Plans Hearing on OMFS Changes
Mar 30, 2018
Location-Based Reimbursement in CA? DWC Plans Hearing on OMFS Changes
California workers’ comp providers may soon face another layer of complexity in calculating reimbursements: Geographic Practice Cost Indices (GPCI), which would raise or lowe...
Outpatient/ASC Fee Schedule: DWC Issues (Then Corrects) Reimbursements
Mar 15, 2018
Outpatient/ASC Fee Schedule: DWC Issues (Then Corrects) Reimbursements
The California Division of Workers’ Compensation (DWC) ordered new adjustments to the Official Medical Fee Schedule (OMFS), effective March 15, 2018. The orders update fees f...
Reminder: E/M Reimbursements Higher in 2018
Feb 21, 2018
Reminder: E/M Reimbursements Higher in 2018
*Update: The 2021 OMFS updates drastically changed how E/M codes are billed.*Some of the most commonly used billing codes by our providers, Evaluation an...
How to Bill for Physician-Dispensed Pharmaceuticals
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...
Providers: Don’t Accept 2017 OMFS Reimbursement Rates for 2018 Dates of Service
Feb 13, 2018
Providers: Don’t Accept 2017 OMFS Reimbursement 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...
2018 Radiology Reimbursements (Professional Services): Cheat Sheet
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 ...
2018 Surgery Reimbursements: Cheat Sheet
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. We’re det...
Reimbursement Change: 2018 E/M and Other Services Cheat Sheet
Dec 15, 2017
Reimbursement Change: 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...
Why Work Comp Providers Need Specialized RCM
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...
Overpaid? Providers Under No Obligation to Return Payment to Claims Admin
Nov 17, 2017
Overpaid? Providers Under No Obligation to Return Payment to Claims Admin
When an employer or insurer’s claims administrator incorrectly overpays a workers’ comp bill, the provider is under no legal obligation to return the payment. This issue came...
Are You Billing for Missed Work Comp Appointments?
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...