Blog: Daisy News

News, data, & insights about workers' comp billing

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  • June 8, 2018

    CorVel Error: Incorrectly Reimbursed ASC Services

    CorVel Corporation, a national third-party administrator, incorrectly reimbursed multiple California workers’ comp providers for Ambulatory Surgical Center (ASC) services, at rates established by Medicare’s ASC fee schedule.

    Medicare ASC reimbursement rates are not applicable to California workers’ comp. Fortunately, DaisyBill clients alerted us to the problem.

    We reached out to CorVel, whose representatives acknowledged the error. Working proactively with DaisyBill, CorVel updated their payment practices and agreed to reprocess all bills with dates of service 3/15/2018 through 5/22/2018.

    Where applicable, CorVel will send providers additional payment for incorrectly processed bills.

    Read more →

  • May 31, 2018

    Institutional Billing: How to Find Your Conversion Factor

    For institutional billing, identifying the correct conversion factor is key to saving time and billing accurately.

    The Hospital Outpatient Departments and Ambulatory Surgical Centers Fee Schedule is a testament to just how convoluted California workers’ comp billing can be — even the schedule’s title is long and messy. Among its many complications are the county and hospital-specific wage-adjusted conversion factors, which providers must include when calculating reimbursement amounts.

    These conversion factors can be tough to identify, and are always subject to change.

    Read more →

  • April 9, 2018

    Ambulatory Surgical Center (ASC) Billing for CA Workers’ Comp Now Available

    Institutional billing for California workers’ comp can be a real pain in the ASC. We just made it a whole lot easier.

    After exhaustive research, hours of programming, and thorough testing, our Billing Software now includes complete billing for ambulatory surgical center (ASC) services. All DaisyBill Billing Software clients can quickly generate compliant UB-04’s, complete with bill tracking, easy second review appeals, and more.

    Providers can sign up for a free demonstration here.

    Read more →

  • 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.

    Read more →

  • November 29, 2017

    Outpatient/ASC Coding: J1 Combinations and C-APC

    No one said work comp billing was easy. In fact, we say just the opposite, all the time. That’s why we created DaisyBill, and why we do our best to offer as many helpful tips and tricks as possible through this very blog. One issue that’s come up repeatedly in recent months is when to apply the Comprehensive APC (C-APC) Status Indicator.

    Read more →

  • November 17, 2017

    Overpaid? Providers Under No Obligation to Return Payment to Claims Admin

    When an employer or insurer’s claims administrator incorrectly overpays a workers’ comp bill, the provider is under no legal obligation to return the payment. This issue came up due to incorrect payments per the ASC/Outpatient Fee Schedule. Mistakes regarding the complex new Status Indicators have left some claims administrators scrambling to recover erroneous payments — even to the point of threatening providers.

    In these situations, it’s important for all parties to be clear on the rules. California Labor Code does not require the restitution of mistakenly paid reimbursements.

    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.