Workers' Comp 101 Webinar Series

PART 4 OF 8: MASTER APPEALS (REQUESTS FOR SECOND REVIEW)

Thursday, November 15, 2018 1-2 PM PST

Never accept incorrect reimbursements for treating injured workers! This webinar will take you through the process of appealing an invalid denial or underpayment in California, from start to finish. We discuss all the requirements, timeframes, and necessary documentation.

Topics include:

• Deadlines for appealing incorrect reimbursements
• Required forms for appealing
• Payor response requirements
• Electronic vs non-electronic appeals

PART 5 OF 8: MASTER INDEPENDENT BILL REVIEW

Thursday, November 29, 2018 1-2 PM PST

When a second review appeal comes up empty, the fight for correct reimbursement isn’t over! In this webinar, we explain California’s Independent Bill Review process, in which a state-contracted third party determines the outcome of a billing dispute.

Topics include:

• Which disputes qualify for IBR
• Required fees and forms
• Necessary documentation
• IBR statistics

Registration Opening Soon

PART 6 OF 8: MASTER PENALTY AND INTEREST

Tuesday, December 18, 2018 1-2 PM PST

Providers, know your rights — and what to do if the payor breaks the rules. California law mandates consequences in the form of penalty and interest payments. Unfortunately, it’s often up to the provider to do the enforcing.

In this webinar, we discuss:

• Labor Code requirements for penalty and interest
• How to calculate penalty and interest amounts
• Penalty and interest for medical-legal bills
• Rules for different types of employers

Registration Opening Soon

PART 7 OF 8: MASTER THE RFA, UR, AND “AUTOMATIC” AUTHORIZATION PROCESSES

Tuesday, January 15, 2019 1-2 PM PST

Get comfortable with all the intricacies of Requests for Authorization (RFA) and Utilization Review (UR), arguably the most tangled processes in California workers’ comp — and that’s saying something!

Topics include:

• Types of RFAs, and when to use them.
• Timelines for RFA submission and response.
• Exceptions to the Utilization Review requirement.
• The new “automatic” authorization: what it means for your practice, and why it’s not as quick and easy as it seems.

Registration Opening Soon

PART 8 OF 8: 2019 OMFS OVERVIEW

Tuesday, January 29, 2019 1-2 PM PST

Understand exactly how reimbursements for various workers’ comp services are determined in California — and how to calculate payments accordingly. The Official Medical Fee Schedule is complicated, but we can help you get a handle on it!

In this webinar, we discuss:

• 2019 changes
• The 7 California workers’ comp fee schedules
• OMFS alignment with Medicare
• OMFS updates, and where to find them
• Reimbursement calculation formulas

Registration Opening Soon