Provides instant fee schedule reimbursements for California workers' comp.
No spreadsheets. No math. No sweat.
Seven Fee Schedules
Determine accurate reimbursement in seconds. The DaisyBill Calculator keeps up with California's constantly-changing fee schedules, with cascading and Billing Ground Rules, links to relevant fee regulations, and much more.
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.
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
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
Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
Historical reimbursement database for dates of service: 1/1/2007 - Current
Pathology and Clinical Laboratory Fee Schedule
Historical reimbursement database for dates of service: 1/1/2008 - Current
Includes $0 reimbursement for invalid CPT codes
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
Medical-Legal Evaluations Fee Schedule
Historical reimbursement database for dates of service: 7/1/2006 - Current
Incorporated into the Physician Fee Schedule
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
Explanation of Fee Schedule PDF
The Calculator has your back, with an incredibly, insanely, detailed explanation for each element of every calculation. We call this an EOFS, Explanation of Fee Schedule. Download an EOFS in friendly PDF format to share your payment calculations.
Current and Historical Reimbursements
We've got you covered for both current and past dates of service. As soon as the DWC changes a fee schedule -- which happens constantly -- we update the calculator in a flash and even show you details, such as the reasons for the changes.
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