Although California’s updated Medical-Legal Fee Schedule has been in effect for a little over a year now, an overview is always helpful. In this quick guide, you’ll find California’s med-legal billing codes, along with their modifiers and some crucial information about each code. I – Med-Legal Billing Codes in California ML200 Missed Appointment for a…
If you are a healthcare provider looking for ways to improve the efficiency of your practice here are some facts about electronic claims you should keep in mind. What Is an Electronic Claim? Before we delve into the details of electronic claims, let’s take a closer look at some basic definitions. An electronic claim is…
In a previous post, we took at the Independent Bill Review (IBR), a process for resolving medical-legal billing disputes in California. But can an IBR determination be appealed? In this post, we give you a detailed answer. What Is an Independent Bill Review (IBR)? As we saw in another post, an Independent Bill Review is…
If you are a healthcare professional still on the fence about hiring a medical billing company, here are five benefits 1. Focus on What You Do Best As a healthcare professional, you know that caring for your patients is a full-time job that requires your undivided attention. If in addition to providing care for your…
The California Division of Workers’ Compensation (DWC) announced on Wednesday that it has adopted a new rule that allows for medical legal reports to be served electronically. Here’s what you need to keep in mind: Electronic service is allowed only when the parties agree and written confirmation exists. At the time of giving written consent…
Medical legal billing in California can be a challenging topic if you don’t know some basic terms. From EOR to IBR, in this post we outline the meaning of all the acronyms and medical terms you need to know to make sense of medical legal billing in the Golden State. AME The acronym AME Stands…
The surge in infections related to the Omicron variant led the California Division of Workers’ Compensation (DWC) to adopt emergency regulations for medical-legal evaluations that allow Qualified Medical Evaluators (QME) and Agreed Medical Evaluators (AME) to perform medical-legal evaluations using telehealth. These regulations will remain in place from January 18, 2022, until July 19, 2022,…
In this blog post, we take a closer look at medical coding modifiers — groups of numbers and letters that can make a big difference to the success of your practice. What Are Medical Coding Modifiers? In order to understand what medical coding modifiers are, first we have to talk about medical codes. Medical codes…
In a previous post, we saw how the Second Bill Review (SBR) / Independent Bill Review Process helps providers of medical-legal services dispute payments made by claims administrators. However, the Independent Bill Review process applies only to disputes related to the amount to be paid to a medical-legal provider. For all other medical-legal disputes it…
Today we take a closer look at the Second Bill Review/Independent Bill Review Process, from some basic definitions to the things medical providers should keep in mind when they dispute a medical-legal payment. What Is a Second Bill Review (SBR)? The Second Bill Review, or SBR for short, is a process that allows healthcare professionals…