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BennettJustinK1

03/01/2019
with specific CPT codes to establish the actual fee schedule of the service provided by Dr. Cronin but was advised that evidence was to be provided at trial through live testimony the undersigned will take under advisement the arguments and evidence presented and reserve final determination on

Category: Panel

Surgery - Co-Surgeons and Team Surgeons

12/18/2020
.”   3 If surgeons of different specialties are each performing a different procedure with specific CPT codes neither co-surgery nor multiple surgery rules apply even

Category: Regulations

Learning Curve Allowed on ANSI Codes

05/23/2005
A memo issued Friday assures insurance carries and trading partners in Texas that the TWCC will be lenient about the switch to ANSI Claim Adjustment Reason Codes. Director of Medical Review Allen McDonald and Director of Business & Information Technology Services Stacey Jefferson outlined the

Category: News

DWC Adjusts Pathology, Lab Section of Fee Schedule

05/29/2020
The California Division of Workers Compensation posted an order incorporating Medicares updated COVID-19 testing codes and fees into the Pathology and Clinical Laboratory section of the Official Medical Fee Schedule. The Centers for Medicare and Medicaid Services published fees for three

Category: News

Invalid Industry Code Most Frequent Error in FROI

01/09/2014
transaction errors for invalid industry codes muddle its data set and inhibit its ability to use the information to reliably compare the injury rate in California with other states. WCIS prefers trading partners use the North American Industry Classification System codes but it also accepts Standard

Category: News

TDI Approves Elimination of Little-Used Class Codes

11/02/2016
The Texas Department of Insurance has posted an order approving a proposal by the National Council on Compensation Insurance to eliminate classification codes that have low credibility meaning there is not enough premium volume from the codes to develop meaningful data. The changes will apply

Category: News

Rating Board Gets Go-Ahead to Eliminate Several Classification Codes From Manual

07/03/2017
The Department of Financial Services has approved the New York Compensation Insurance Rating Boards amendments to its Workers Compensation and Employers Liability Manual. The amendments eliminate classification codes that were scheduled to expire Oct. 1. DFS approved the elimination of 15

Category: News

New MWCARP Rate Pages Reflect Class Code Changes

12/04/2017
The Minnesota Workers Compensation Assigned Risk Plan has issued a notice regarding rates for new and renewal policies effective Jan. 1 through March 31. Because certain classification codes have been eliminated and two new classification codes created MWCARP is publishing new rate pages

Category: News

Physicians Warned as ICD-10 Transition Is Just Days Away

09/24/2015
Doctors offices that have been ignoring an impending Medicare requirement to use a new set of medical diagnostic codes on their claims may find themselves in a panic when they realize the mandate will take effect on Oct. 1. But a health information technology organization is seeking to

Category: News

MTUS Drug List

12/18/2020

Category: Regulations

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