OMFS
Jun 8, 2018
CorVel Error: Incorrectly Reimbursed ASC Services
CorVel Corporation, a national third-party administrator, incorrectly reimbursed multiple California workers’ comp providers for Ambulatory Surgical Center (ASC) services, at...
Jun 1, 2018
Multiple Payors Reimbursing WC002 at 2017 Rates
We’re halfway through 2018, and claims administrators are still reimbursing your office at 2017 rates for 2018 dates of service.We’ve noticed this problem all year for...
May 31, 2018
Institutional Billing: How to Find Your Conversion Factor
For institutional billing, identifying the correct conversion factor is key to saving time and billing accurately.The Hospital Outpatient Departments and Ambulatory Su...
May 16, 2018
FYI: Workers’ Comp Telemedicine Reimbursed at Facility Rates
In California and elsewhere, telemedicine isn’t just the future — it’s the present. Of course, this shift to increasingly virtual services means unique new wrinkles in the wo...
May 3, 2018
DWC Orders Changes to OMFS Pathology/Clinical Lab Fees
The DWC posted an update order bringing the Pathology and Clinical Laboratory section of the Official Medical Fee Schedule (OMFS) into line with Medicare.The order rem...
May 2, 2018
DME: Invoice Not Required for (Most) Durable Medical Equipment
Too often, we see claims administrators demand extraneous paperwork from providers, adding unnecessary friction to the workers’ comp billing and payment process. One example ...
Apr 13, 2018
“By Report” Billing Codes: Best Practices for Proper Reimbursement
When the Official Medical Fee Schedule (OMFS) assigns the reimbursement for a procedure code as “By Report” (BR), establishing the correct payment amount is one of the tricki...
Apr 6, 2018
Interpreter Fee Schedule: An Imperfect Step in the Right Direction
California’s Division of Workers’ Compensation (DWC) proposed new interpreter fee schedule regulations this week. The changes would create a uniform fee schedule, replacing t...
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 ...
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...
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...
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...