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Fee Schedules & Billing Codes

Understanding how medical providers are reimbursed is essential for managing claim costs and ensuring proper billing practices. This module explores California’s workers’ compensation fee schedules, billing codes, and audit rules. You’ll gain the knowledge needed to interpret medical bills, spot inaccuracies, and work effectively with bill review services.

Key Learning Outcomes

  • Understand the purpose and structure of WC fee schedules

  • Learn common billing codes and how they’re applied

  • Identify billing errors and compliance issues

  • Improve coordination with bill review vendors

  • Support cost containment and reimbursement accuracy

Who Should Enroll

This course is ideal for claims adjusters, bill reviewers, and employer reps responsible for managing medical costs. It’s also valuable for anyone involved in approving, processing, or auditing provider bills.

Sullivan on Comp

The Claims Practitioner in Workers’ Compensation (CPWC) program is powered by Sullivan on Comp (SOC) and SOC Essentials—the most trusted resources in California workers’ compensation.

These expert materials deliver:

  • In-depth legal analysis

  • Practical, real-world claims guidance

  • Current updates on laws, regulations, and case law


With SOC integrated into this course, you’ll gain the legal insight and practical tools needed to handle California workers’ compensation claims with skill and confidence.

Topics Covered

This module provides an overview of medical billing and reimbursement practices in WC:

  • California’s Official Medical Fee Schedule (OMFS)

  • Common billing codes and modifiers

  • Billing review and dispute resolution

  • Identifying unbundled or inappropriate charges

  • Communication with providers and vendors

Why Professionals Trust This Course

This course is designed for professionals who are ready to build—or strengthen—a career in California workers’ compensation:

Updated for 2024 with real-world claims examples
Aligned with California DWC training requirements
Integrated with Sullivan on Comp for legal and practical clarity
Flexible, on-demand format for working professionals
Part of the full CPWC Certification path

CPWC11

On-Demand

Payment plans available.

Upgrade to a Certification on Workers’ Comp

Students who chose certifications got:

Become a Workers' Compensation Expert

Ready to take the next step towards a rewarding career in the workers’ compensation industry? Look no further!

Connect with our experienced counselor to determine the best class or path for your goals.

Fill out the form to get in touch 




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