● WORKERS' COMP SERVICES IN CA
HealthCare Comp delivers DME, Home Health, Home Modifications, and Complex Care to injured workers across California — with full fee schedule compliance and a single dedicated coordinator on every claim.
● CA FEE SCHEDULE COMPLIANCE
California's Official Medical Fee Schedule (OMFS), administered by the Department of Industrial Relations (DIR) Division of Workers' Compensation (DWC), sets maximum reimbursement rates for all ancillary services including DME (using DMEPOS codes), home health nursing, and home modifications. California's OMFS is one of the most complex fee schedules in the country — it incorporates separate schedules for physician services, pharmacy, pathology, radiology, and durable medical equipment, each with distinct code sets and update cycles. HealthCare Comp maintains current OMFS rates across all service lines and applies the correct schedule to each claim without adjuster follow-up.
California also has among the most active Independent Medical Review (IMR) and Independent Bill Review (IBR) systems in the country — meaning billing disputes can escalate quickly if documentation or coding is incorrect. HealthCare Comp submits all California invoices with correct OMFS codes, DWC-required modifiers, and complete medical necessity documentation, minimizing IBR exposure and keeping claims moving toward closure.
● CA WORKERS' COMP LANDSCAPE
California is the largest workers' compensation market in the United States — accounting for more claim volume than Texas and Florida combined. The state's injury profile spans an unusually wide range: agricultural workers in the Central Valley sustain high rates of heat illness and repetitive harvest injuries; construction crews across the Bay Area and Southern California generate fall, scaffolding, and crane trauma claims; warehouse and logistics workers in the Inland Empire face overexertion and forklift injuries at scale; and the entertainment industry produces a distinct category of occupational injury from stunt work, location production, and grip operations. California's Medical Provider Network (MPN) system means adjusters must ensure their ancillary providers are either on the applicable MPN or that an out-of-MPN authorization is in place — a compliance detail HealthCare Comp manages on every referral.
● HOW IT WORKS
Online form or phone. Patient info, injury type, services needed, claim number.
Auth confirmed, provider or patient contacted within 24 hours.
Scheduling, delivery, documentation, and billing all handled. Clean invoice to you.
One call. Every service. Across all of California.
