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Work Comp Wizard

Smart technology designed to make workers’ comp simple.

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Workers' Comp Is Incredibly Complicated. We Make It Simple.

Instant workers’ comp fee schedules, IBR decisions, MPN List, Claims Administrator Directory, Fee Schedule Alerts, Live Chat Help from our workers’ comp experts, and much more.
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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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