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Fee Schedules and More in One Magical Place.

Workers' Comp Wizard

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Fee Schedule Calculator

Provides instant fee schedule reimbursements for California workers' comp.
No spreadsheets. No math. No sweat.

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Seven Fee Schedules

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Seven California Fee Schedules

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Physician and Non-Physician Fee Schedule

  • Historical reimbursement Table A § 9789.11 for dates of service: Jan 2005 - Dec 2014
  • Historical CMS RVU reimbursement database for dates of service: Jan 2014 - Current
  • Adjustment Factors, Conversion Factors, Statewide GAFs
  • CCI Edits: Medically Unlikely Edits, National Correct Coding Initiative
  • Multiple Surgeries and Endoscopies billing ground rules
  • Diagnostic Cardiovascular Procedures subject to MPPR
  • Diagnostic Imaging Multiple Procedures subject to MPPR
  • DWC Pharmaceutical Fee Schedule
  • California-Specific workers’ comp Billing Ground Rules
  • Medi-Cal Rates for calculating physician-administered drugs
  • Physical Therapy MPPR
  • Physician and Non-Physician reimbursement calculations
  • California-Specific Codes reimbursement
  • CPT codes that shall not be used
  • Historical reimbursement for splints and casting supplies for dates of service prior to April 2014.
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Hospital Outpatient Departments and Ambulatory Surgical Centers Fee Schedule

  • Historical reimbursement database for dates of service: 12/15/2016 - Current
  • Multiple Surgical Procedures
  • Complexity Adjusted APC Assignments
  • Composite Radiology
  • Status Code Indicator Ground Rules
  • Emergency Only HCPCS
  • Inpatient Only HCPCS
  • Outpatient Other Services
  • Integral service requires surgical procedures
  • County or Outpatient specific conversion factors by date of service
  • DWC DME Fee Schedule
  • DWC Pathology Fee Schedule
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Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule

  • Historical reimbursement database for dates of service: 1/1/2007 - Current
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Pathology and Clinical Laboratory Fee Schedule

  • Historical reimbursement database for dates of service: 1/1/2008 - Current
  • Includes $0 reimbursement for invalid CPT codes
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Pharmaceuticals Fee Schedule

  • Historical reimbursement database for dates of service: 1/1/2013 - Current
  • National Drug Codes (NDC) updated weekly with data from the California Department of Health Care Services
  • Includes Medi-Cal $7.25 professional fee for dispensing
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Medical-Legal Evaluations Fee Schedule

  • Historical reimbursement database for dates of service: 7/1/2006 - Current
  • Incorporated into the Physician Fee Schedule
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Copy Services Fee Schedule

  • Copy Service Billing Codes per § 9981 Bills for Copy Services
  • Historical reimbursement database for dates of service: 7/1/2015 - Current
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Explanation of Fee Schedule PDF

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Current and Historical Reimbursements

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