Blog: Daisy News

News, data, & insights about workers' comp billing

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  • March 20, 2018

    Discount Dangers: The CA Provider’s Bill of Rights (Right V)

    Discount Dangers is a DaisyBill series on the ways some discount contracts unscrupulously reduce providers’ reimbursements. With this series we shine a light on the worst practices, to help providers fight back.

    According to California Labor Code, when a provider contracts with a payor to accept reduced reimbursements, it is incumbent upon the employer to take certain reasonable, clearly defined steps to direct their injured workers to the contracted provider for care.

    A provider accepts reduced reimbursements because she/he has an expectation that the number of patients will increase. Instead, all too often, providers simply accept reduced reimbursements without an adequate return on investment. This series is meant to help providers hold employers and payors accountable.

    Providers should insist that employers — and subsequently payors — earn these discounted reimbursements as mandated by the Labor Code.

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  • March 16, 2018

    TPA Change: JCPenney Switches Third-Party Administrator

    JCPenney no longer utilizes third-party claims administrator Sedgwick Claims Management Services. The retail department store chain transferred all claims to AIG Claims, Inc., effective February 2, 2018.

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  • March 16, 2018

    FYI: American Airlines Changes Bill Review

    Self-insured employer American Airlines no longer utilizes Genex Services Bill Review. Effective February 1, 2018, American switched to Sedgwick Claims Management Services National Bill Review.

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  • March 15, 2018

    Outpatient/ASC Fee Schedule: DWC Issues (Then Corrects) Reimbursements

    The California Division of Workers’ Compensation (DWC) ordered new adjustments to the Official Medical Fee Schedule (OMFS), effective March 15, 2018. The orders update fees for hospital outpatient departments and Ambulatory Surgical Center (ASC) services.

    Pursuant to California Labor Code § 5307.1, DWC Acting Administrative Director George P. Parisotto’s update orders brought the outpatient/ASC fee schedule into conformity with CMS’ HOPPS rules. Most recently, the DWC issued an order correcting an error in a previous order’s update to California Code of Regulations (CCR) Section 9789.34’s Table A.

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  • March 13, 2018

    How Workers’ Comp Payments By Credit Card Hurt CA Providers

    Accepting credit cards from patients for co-pays and deductibles is one thing, but it makes zero financial sense for California providers to accept credit card payments from claims administrators for workers’ comp patients.

    This practice may be convenient for the payor, but it places a significant — and pointless —  financial burden on California providers, with no discernible improvement in payment times.

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  • March 9, 2018

    Complete 2018 Automatic Authorization Guide for California Workers’ Comp

    Over the last several months, we blogged extensively (and hosted a free comprehensive webinar) on the new automatic authorization process for California workers’ comp.

    Here, we’ve assembled the most important rules and procedures into one convenient guide. Use this for quick and easy reference, and feel free to download and print the PDF version from our Webinar Library by clicking below:


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  • March 6, 2018

    Discount Dangers: The CA Provider’s Bill of Rights (Rights III and IV)


    Discount Dangers is a DaisyBill series on the ways discount contracts incorrectly reduce providers’ reimbursements. With this series, we shine a light on the worst discount practices, and help providers fight back.

    Providers should know what they’re getting into when signing a discount contract.

    Read more →

  • March 5, 2018

    CPT 97750 for Functional Capacity Exams: Medically Unlikely Edits

    Providers sometimes run into trouble when billing Current Procedural Terminology (CPT) Code 97750. Providers use this procedure code to bill for functional capacity exams, including physical performance tests and measurements, with written reports. However, a pesky Medically Unlikely Edit (MUE) complicates the matter by limiting the number of billable units.

    Knowing the limits MUEs impose on codes like CPT 97750 is key to accurate billing.

    Read more →


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DaisyBill is a trusted authority on workers’ comp billing. Thousands of work comp professionals attend our webinars and state agencies and professional organizations turn to us for our expertise. We created this blog to help everyone involved in workers’ compensation; sharing news, tips, and data of interest to the community.

Drop us a line with any news you would like us to share or any issue that concerns you.

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